38D2308792 CLIA NUMBER - SAFEWAY PHARMACY #1665

Laboratory Demographics

  • CLIA Code: 38D2308792
  • Facility Name: SAFEWAY PHARMACY #1665
  • Facility Address: 1705 S HWY 97
    REDMOND, OR
    ZIP 97756
  • Facility Phone: 541 504-4166
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASSIDY THOMPSON
  • NPI Number: 1063441095
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2308792
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1665
Street 1705 S HWY 97
City REDMOND
State OR
ZIP 97756
Phone 541 504-4166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Pharmacy
Lab Director CASSIDY THOMPSON

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