50D2039573 CLIA NUMBER - SAFEWAY PHARMACY 0535

Laboratory Demographics

  • CLIA Code: 50D2039573
  • Facility Name: SAFEWAY PHARMACY 0535
  • Facility Address: 20711 BOTHELL EVERETT HWY
    BOTHELL, WA
    ZIP 98012
  • Facility Phone: 425 486-4473
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN N. TEGART
  • NPI Number: 1790721397
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2039573
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 0535
Street 20711 BOTHELL EVERETT HWY
City BOTHELL
State WA
ZIP 98012
Phone 425 486-4473
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 N. TEGART

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This page was last updated on: 9/29/2025