50D2050634 CLIA NUMBER - SAFEWAY PHARMACY 1844

Laboratory Demographics

  • CLIA Code: 50D2050634
  • Facility Name: SAFEWAY PHARMACY 1844
  • Facility Address: 301 WHITESELL ST NW
    ORTING, WA
    ZIP 98360
  • Facility Phone: 360 893-0843
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1962431999
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2050634
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 1844
Street 301 WHITESELL ST NW
City ORTING
State WA
ZIP 98360
Phone 360 893-0843
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