50D1033043 CLIA NUMBER - SAFEWAY PHARMACY #0265

Laboratory Demographics

  • CLIA Code: 50D1033043
  • Facility Name: SAFEWAY PHARMACY #0265
  • Facility Address: 6520 NORTH NEVADA ST
    SPOKANE, WA
    ZIP 99208
  • Facility Phone: 509 489-5287
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1003862921
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D1033043
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0265
Street 6520 NORTH NEVADA ST
City SPOKANE
State WA
ZIP 99208
Phone 509 489-5287
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