38D2274181 CLIA NUMBER - SAFEWAY PHARMACY #2723

Laboratory Demographics

CLIA Number: 38D2274181

Facility Name: SAFEWAY PHARMACY #2723

Facility Address:
1815 4TH ST
TILLAMOOK, OR
ZIP 97141
Get Directions

Facility Phone Number: 503 842-5934

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1023023710

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType	4
CertificateEffectiveDate	12/28/2022
CertificateExpirationDate	12/27/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024