CLIA lab

CLIA 38D1059192: Safeway Pharmacy #1047

Lake Oswego, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 38D1059192 belongs to Safeway Pharmacy #1047 in Lake Oswego, OR.

Certificate of Waiver, effective September 25, 2026, expires September 24, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 25, 2026
Certificate expiration
September 24, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 25, 2006
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
38D1059192
Lab name
Safeway Pharmacy #1047
Address
17779 Lower Boones Ferry Rd, Lake Oswego, OR 97035
Phone
(503) 675-2509
Fax
(503) 675-2512

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Lake Oswego, OR

Related

Questions

What is the CLIA number for Safeway Pharmacy #1047 in Lake Oswego?

38D1059192, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Safeway Pharmacy #1047 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 38D1059192 expire?

The CMS file lists September 24, 2028 as the certificate expiration date; the certificate took effect September 25, 2026.

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