50D2014825 CLIA NUMBER - SAFEWAY PHARMACY #0307

Laboratory Demographics

  • CLIA Code: 50D2014825
  • Facility Name: SAFEWAY PHARMACY #0307
  • Facility Address: 215 E ROSE ST
    WALLA WALLA, WA
    ZIP 99362
  • Facility Phone: 509 522-0227
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1831135441
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2014825
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0307
Street 215 E ROSE ST
City WALLA WALLA
State WA
ZIP 99362
Phone 509 522-0227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2013
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