38D2274181 CLIA NUMBER - SAFEWAY PHARMACY #2723

Laboratory Demographics

  • CLIA Code: 38D2274181
  • Facility Name: SAFEWAY PHARMACY #2723
  • Facility Address: 1815 4TH ST
    TILLAMOOK, OR
    ZIP 97141
  • Facility Phone: 503 842-5934
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDY DINH
  • NPI Number: 1023023710
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2274181
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2723
Street 1815 4TH ST
City TILLAMOOK
State OR
ZIP 97141
Phone 503 842-5934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Pharmacy
Lab Director ANDY DINH

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This page was last updated on: 9/29/2025