50D2014828 CLIA NUMBER - SAFEWAY PHARMACY #0462

Laboratory Demographics

  • CLIA Code: 50D2014828
  • Facility Name: SAFEWAY PHARMACY #0462
  • Facility Address: 205 N 5TH AVE
    YAKIMA, WA
    ZIP 98902
  • Facility Phone: 509 457-8869
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1295771806
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2014828
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0462
Street 205 N 5TH AVE
City YAKIMA
State WA
ZIP 98902
Phone 509 457-8869
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