50D1033041 CLIA NUMBER - SAFEWAY PHARMACY 258

Laboratory Demographics

  • CLIA Code: 50D1033041
  • Facility Name: SAFEWAY PHARMACY 258
  • Facility Address: 13606 E 32ND AVE
    SPOKANE, WA
    ZIP 99206
  • Facility Phone: 509 892-3659
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1932155447
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D1033041
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 258
Street 13606 E 32ND AVE
City SPOKANE
State WA
ZIP 99206
Phone 509 892-3659
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