50D2039611 CLIA NUMBER - SAFEWAY PHARMACY 2932

Laboratory Demographics

  • CLIA Code: 50D2039611
  • Facility Name: SAFEWAY PHARMACY 2932
  • Facility Address: 2622 CALIFORNIA AVE SW
    SEATTLE, WA
    ZIP 98116
  • Facility Phone: 206 938-0103
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN M. TEGART
  • NPI Number: 1881630473
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2039611
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 2932
Street 2622 CALIFORNIA AVE SW
City SEATTLE
State WA
ZIP 98116
Phone 206 938-0103
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 M. TEGART

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This page was last updated on: 3/20/2025