50D2014824 CLIA NUMBER - SAFEWAY PHARMACY 0584

Laboratory Demographics

  • CLIA Code: 50D2014824
  • Facility Name: SAFEWAY PHARMACY 0584
  • Facility Address: 711 W FIRST AVE
    TOPPENISH, WA
    ZIP 98948
  • Facility Phone: 509 865-4700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1215966239
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2014824
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 0584
Street 711 W FIRST AVE
City TOPPENISH
State WA
ZIP 98948
Phone 509 865-4700
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