50D2050627 CLIA NUMBER - SAFEWAY PHARMACY 1464

Laboratory Demographics

  • CLIA Code: 50D2050627
  • Facility Name: SAFEWAY PHARMACY 1464
  • Facility Address: 3215 HARRISON AVE NW
    OLYMPIA, WA
    ZIP 98502
  • Facility Phone: 360 956-3827
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1316983901
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2050627
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 1464
Street 3215 HARRISON AVE NW
City OLYMPIA
State WA
ZIP 98502
Phone 360 956-3827
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