50D2014816 CLIA NUMBER - SAFEWAY PHARMACY 3247

Laboratory Demographics

  • CLIA Code: 50D2014816
  • Facility Name: SAFEWAY PHARMACY 3247
  • Facility Address: 101 GRAND COULEE HWY
    GRAND COULEE, WA
    ZIP 99133
  • Facility Phone: 509 633-0463
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1467481481
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2014816
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 3247
Street 101 GRAND COULEE HWY
City GRAND COULEE
State WA
ZIP 99133
Phone 509 633-0463
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