50D2039600 CLIA NUMBER - SAFEWAY PHARMACY 0533

Laboratory Demographics

  • CLIA Code: 50D2039600
  • Facility Name: SAFEWAY PHARMACY 0533
  • Facility Address: 19150 WOODINVILLE DUVALL RD
    WOODINVILLE, WA
    ZIP 98077
  • Facility Phone: 425 788-6658
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN N. TEGART
  • NPI Number: 1538195318
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2039600
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 0533
Street 19150 WOODINVILLE DUVALL RD
City WOODINVILLE
State WA
ZIP 98077
Phone 425 788-6658
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: 6/4/2025