50D2039571 CLIA NUMBER - SAFEWAY PHARMACY 1923

Laboratory Demographics

  • CLIA Code: 50D2039571
  • Facility Name: SAFEWAY PHARMACY 1923
  • Facility Address: 9620 28TH AVE SW
    SEATTLE, WA
    ZIP 98126
  • Facility Phone: 206 923-9110
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1235168261
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2039571
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 1923
Street 9620 28TH AVE SW
City SEATTLE
State WA
ZIP 98126
Phone 206 923-9110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2012
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