38D2274183 CLIA NUMBER - SAFEWAY PHARMACY #1627

Laboratory Demographics

  • CLIA Code: 38D2274183
  • Facility Name: SAFEWAY PHARMACY #1627
  • Facility Address: 3930 SE POWELL BLVD
    PORTLAND, OR
    ZIP 97202
  • Facility Phone: 503 772-4445
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZAH OWENS
  • NPI Number: 1831128883
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2274183
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1627
Street 3930 SE POWELL BLVD
City PORTLAND
State OR
ZIP 97202
Phone 503 772-4445
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 ELIZAH OWENS

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