49D2249385 CLIA NUMBER - SAFEWAY PHARMACY #1689

Laboratory Demographics

  • CLIA Code: 49D2249385
  • Facility Name: SAFEWAY PHARMACY #1689
  • Facility Address: 413 ELDEN ST
    HERNDON, VA
    ZIP 20170
  • Facility Phone: 571 262-2970
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTA HEIN
  • NPI Number: 1376572388
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2249385
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1689
Street 413 ELDEN ST
City HERNDON
State VA
ZIP 20170
Phone 571 262-2970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Pharmacy
Lab Director KRISTA HEIN

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