21D2081856 CLIA NUMBER - SAFEWAY PHARMACY #2713

Laboratory Demographics

  • CLIA Code: 21D2081856
  • Facility Name: SAFEWAY PHARMACY #2713
  • Facility Address: 12410 FAIRWOOD PKWY
    BOWIE, MD
    ZIP 20720
  • Facility Phone: 301 867-0345
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTA HEIN
  • NPI Number: 1346309705
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2081856
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2713
Street 12410 FAIRWOOD PKWY
City BOWIE
State MD
ZIP 20720
Phone 301 867-0345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Pharmacy
Lab Director KRISTA HEIN

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