09D2218470 CLIA NUMBER - SAFEWAY PHARMACY #3217

Laboratory Demographics

  • CLIA Code: 09D2218470
  • Facility Name: SAFEWAY PHARMACY #3217
  • Facility Address: 415 14TH ST SE
    WASHINGTON, DC
    ZIP 20003
  • Facility Phone: 202 920-5875
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. NAGRA DALVINDER
  • NPI Number: 1033155635
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 09D2218470
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3217
Street 415 14TH ST SE
City WASHINGTON
State DC
ZIP 20003
Phone 202 920-5875
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Pharmacy
Lab Director DR. NAGRA DALVINDER

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