49D1049928 CLIA NUMBER - SAFEWAY PHARMACY #1431

Laboratory Demographics

  • CLIA Code: 49D1049928
  • Facility Name: SAFEWAY PHARMACY #1431
  • Facility Address: 12200 FAIRFAX TOWNE CENTER
    FAIRFAX, VA
    ZIP 22033
  • Facility Phone: (703) 359-0525
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTA HEIN
  • NPI Number: 1003845017
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D1049928
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1431
Street 12200 FAIRFAX TOWNE CENTER
City FAIRFAX
State VA
ZIP 22033
Phone 7033590525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2026
Certificate Expiration Date 1/19/2028
Facility Type Pharmacy
Lab Director KRISTA HEIN

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This page was last updated on: 5/18/2026