09D2072195 CLIA NUMBER - SAFEWAY PHARMACY #2892

Laboratory Demographics

  • CLIA Code: 09D2072195
  • Facility Name: SAFEWAY PHARMACY #2892
  • Facility Address: 1100 4TH STREET SW SUITE 150
    WASHINGTON, DC
    ZIP 20024
  • Facility Phone: 202 719-2500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CHENNEL HILL
  • NPI Number: 1154645224
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 09D2072195
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2892
Street 1100 4TH STREET SW SUITE 150
City WASHINGTON
State DC
ZIP 20024
Phone 202 719-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Pharmacy
Lab Director DR. CHENNEL HILL

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