50D2014813 CLIA NUMBER - SAFEWAY PHARMACY #0385

Laboratory Demographics

  • CLIA Code: 50D2014813
  • Facility Name: SAFEWAY PHARMACY #0385
  • Facility Address: 391 N MAIN ST
    COLVILLE, WA
    ZIP 99114
  • Facility Phone: 509 684-8481
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1144266776
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2014813
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0385
Street 391 N MAIN ST
City COLVILLE
State WA
ZIP 99114
Phone 509 684-8481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2010
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