50D0975320 CLIA NUMBER - SAFEWAY PHARMACY #1103

Laboratory Demographics

  • CLIA Code: 50D0975320
  • Facility Name: SAFEWAY PHARMACY #1103
  • Facility Address: 6701 E MILL PLAIN BLVD
    VANCOUVER, WA
    ZIP 98661
  • Facility Phone: 360 992-5726
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1306875323
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D0975320
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1103
Street 6701 E MILL PLAIN BLVD
City VANCOUVER
State WA
ZIP 98661
Phone 360 992-5726
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2000
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director SUSAN TEGART

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025