50D2039575 CLIA NUMBER - SAFEWAY PHARMACY 0558

Laboratory Demographics

  • CLIA Code: 50D2039575
  • Facility Name: SAFEWAY PHARMACY 0558
  • Facility Address: 6911 COAL CREEK PKWAY SE
    NEWCASTLE, WA
    ZIP 98059
  • Facility Phone: 425 644-2726
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1699706499
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2039575
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 0558
Street 6911 COAL CREEK PKWAY SE
City NEWCASTLE
State WA
ZIP 98059
Phone 425 644-2726
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