49D2012309 CLIA NUMBER - SAFEWAY INC (PHARMACY 2616)

Laboratory Demographics

  • CLIA Code: 49D2012309
  • Facility Name: SAFEWAY INC (PHARMACY 2616)
  • Facility Address: 3043 NUTLEY STREET
    FAIRFAX, VA
    ZIP 22031
  • Facility Phone: 703 269-2244
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTA HEIN
  • NPI Number: 1891731493
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2012309
LAB Type Pharmacy
Facility Name SAFEWAY INC (PHARMACY 2616)
Street 3043 NUTLEY STREET
City FAIRFAX
State VA
ZIP 22031
Phone 703 269-2244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Pharmacy
Lab Director KRISTA HEIN

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