09D2114267 CLIA NUMBER - SAFEWAY PHARMACY #2808

Laboratory Demographics

  • CLIA Code: 09D2114267
  • Facility Name: SAFEWAY PHARMACY #2808
  • Facility Address: 3830 GEORGIA AVE, NW
    WASHINGTON, DC
    ZIP 20011
  • Facility Phone: 202 722-4067
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. EDWARD MILENSKI
  • NPI Number: 1316983190
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 09D2114267
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2808
Street 3830 GEORGIA AVE, NW
City WASHINGTON
State DC
ZIP 20011
Phone 202 722-4067
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Pharmacy
Lab Director DR. EDWARD MILENSKI

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