50D2039606 CLIA NUMBER - SAFEWAY PHARMACY 1143

Laboratory Demographics

  • CLIA Code: 50D2039606
  • Facility Name: SAFEWAY PHARMACY 1143
  • Facility Address: 8340 15TH AVE NW
    SEATTLE, WA
    ZIP 98117
  • Facility Phone: 206 782-7480
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN N. TEGART
  • NPI Number: 1740226372
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2039606
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 1143
Street 8340 15TH AVE NW
City SEATTLE
State WA
ZIP 98117
Phone 206 782-7480
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