49D2072774 CLIA NUMBER - SAFEWAY PHARMACY #1570

Laboratory Demographics

  • CLIA Code: 49D2072774
  • Facility Name: SAFEWAY PHARMACY #1570
  • Facility Address: 2304 HUNTERS WOODS PLAZA
    RESTON, VA
    ZIP 20191
  • Facility Phone: 703 716-4203
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTA KEIN
  • NPI Number: 1154352953
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2072774
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1570
Street 2304 HUNTERS WOODS PLAZA
City RESTON
State VA
ZIP 20191
Phone 703 716-4203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Pharmacy
Lab Director KRISTA KEIN

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