50D1034869 CLIA NUMBER - SAFEWAY PHARMACY 3253

Laboratory Demographics

  • CLIA Code: 50D1034869
  • Facility Name: SAFEWAY PHARMACY 3253
  • Facility Address: 5204 W CLEARWATER AVE
    KENNEWICK, WA
    ZIP 99336
  • Facility Phone: 509 735-8311
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN M. TEGART
  • NPI Number: 1710933106
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D1034869
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 3253
Street 5204 W CLEARWATER AVE
City KENNEWICK
State WA
ZIP 99336
Phone 509 735-8311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2004
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director SUSAN M. 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: 9/29/2025