49D2249397 CLIA NUMBER - SAFEWAY PHARMACY #2635

Laboratory Demographics

  • CLIA Code: 49D2249397
  • Facility Name: SAFEWAY PHARMACY #2635
  • Facility Address: 12821 BRAEMAR VILLAGE PLAZA
    BRISTOW, VA
    ZIP 20136
  • Facility Phone: 703 257-0436
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTA HEIN
  • NPI Number: 1083650683
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2249397
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2635
Street 12821 BRAEMAR VILLAGE PLAZA
City BRISTOW
State VA
ZIP 20136
Phone 703 257-0436
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