50D1034874 CLIA NUMBER - SAFEWAY PHARMACY #4406

Laboratory Demographics

  • CLIA Code: 50D1034874
  • Facility Name: SAFEWAY PHARMACY #4406
  • Facility Address: 11330 NW 51ST AVE NW
    GIG HARBOR, WA
    ZIP 98332
  • Facility Phone: 253 853-4755
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1730136193
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D1034874
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #4406
Street 11330 NW 51ST AVE NW
City GIG HARBOR
State WA
ZIP 98332
Phone 253 853-4755
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 TEGART

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