50D1034902 CLIA NUMBER - SAFEWAY PHARMACY #485

Laboratory Demographics

  • CLIA Code: 50D1034902
  • Facility Name: SAFEWAY PHARMACY #485
  • Facility Address: 19500 HIGHWAY 99
    LYNNWOOD, WA
    ZIP 98036
  • Facility Phone: (425) 670-9723
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEAGRT
  • NPI Number: 1255102331
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D1034902
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #485
Street 19500 HIGHWAY 99
City LYNNWOOD
State WA
ZIP 98036
Phone 4256709723
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 TEAGRT

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This page was last updated on: 5/18/2026