49D2072776 CLIA NUMBER - SAFEWAY PHARMACY #1417

Laboratory Demographics

  • CLIA Code: 49D2072776
  • Facility Name: SAFEWAY PHARMACY #1417
  • Facility Address: 9881 GEORGETOWN PIKE
    GREAT FALLS, VA
    ZIP 22066
  • Facility Phone: 703 759-3837
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTA HEIN
  • NPI Number: 1922037936
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2072776
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1417
Street 9881 GEORGETOWN PIKE
City GREAT FALLS
State VA
ZIP 22066
Phone 703 759-3837
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 HEIN

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