50D2039610 CLIA NUMBER - SAFEWAY PHARMACY 1586

Laboratory Demographics

  • CLIA Code: 50D2039610
  • Facility Name: SAFEWAY PHARMACY 1586
  • Facility Address: 12318 15TH AVE NE
    SEATTLE, WA
    ZIP 98125
  • Facility Phone: 206 306-0508
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1295771822
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2039610
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 1586
Street 12318 15TH AVE NE
City SEATTLE
State WA
ZIP 98125
Phone 206 306-0508
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