50D2050622 CLIA NUMBER - SAFEWAY PHARMACY 0474

Laboratory Demographics

  • CLIA Code: 50D2050622
  • Facility Name: SAFEWAY PHARMACY 0474
  • Facility Address: 1715 BROADWAY
    EVERETT, WA
    ZIP 98201
  • Facility Phone: 425 339-9448
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1497784417
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2050622
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 0474
Street 1715 BROADWAY
City EVERETT
State WA
ZIP 98201
Phone 425 339-9448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2012
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