50D1033035 CLIA NUMBER - SAFEWAY PHARMACY 0206

Laboratory Demographics

  • CLIA Code: 50D1033035
  • Facility Name: SAFEWAY PHARMACY 0206
  • Facility Address: 9001 N INDIAN TRAIL RD
    SPOKANE, WA
    ZIP 99208
  • Facility Phone: 509 465-8590
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1457399693
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D1033035
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 0206
Street 9001 N INDIAN TRAIL RD
City SPOKANE
State WA
ZIP 99208
Phone 509 465-8590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2004
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director SUSAN TEGART

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