09D2072190 CLIA NUMBER - SAFEWAY PHARMACY #2737

Laboratory Demographics

  • CLIA Code: 09D2072190
  • Facility Name: SAFEWAY PHARMACY #2737
  • Facility Address: 490 L STREET NW
    WASHINGTON, DC
    ZIP 20001
  • Facility Phone: 202 719-2439
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISSANU ARGAW
  • NPI Number: 1114174471
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 09D2072190
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2737
Street 490 L STREET NW
City WASHINGTON
State DC
ZIP 20001
Phone 202 719-2439
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Pharmacy
Lab Director LISSANU ARGAW

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