50D2050625 CLIA NUMBER - SAFEWAY PHARMACY 1142

Laboratory Demographics

  • CLIA Code: 50D2050625
  • Facility Name: SAFEWAY PHARMACY 1142
  • Facility Address: 12519 NE 85TH ST
    KIRKLAND, WA
    ZIP 98033
  • Facility Phone: 425 822-9235
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1831135466
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2050625
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 1142
Street 12519 NE 85TH ST
City KIRKLAND
State WA
ZIP 98033
Phone 425 822-9235
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