49D2072766 CLIA NUMBER - SAFEWAY PHARMACY #1298

Laboratory Demographics

  • CLIA Code: 49D2072766
  • Facility Name: SAFEWAY PHARMACY #1298
  • Facility Address: 4240 MERCHANT PLAZA
    WOODBRIDGE, VA
    ZIP 22192
  • Facility Phone: 703 590-0471
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTA HEIN
  • NPI Number: 1699711226
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2072766
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1298
Street 4240 MERCHANT PLAZA
City WOODBRIDGE
State VA
ZIP 22192
Phone 703 590-0471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Pharmacy
Lab Director KRISTA HEIN

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