50D2050626 CLIA NUMBER - SAFEWAY PHARMACY 1600

Laboratory Demographics

  • CLIA Code: 50D2050626
  • Facility Name: SAFEWAY PHARMACY 1600
  • Facility Address: 300 BELLEVUE WAY NE
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: 425 749-3889
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1205002250
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2050626
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 1600
Street 300 BELLEVUE WAY NE
City BELLEVUE
State WA
ZIP 98004
Phone 425 749-3889
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: 6/4/2025