50D2050637 CLIA NUMBER - SAFEWAY PHARMACY 1930

Laboratory Demographics

  • CLIA Code: 50D2050637
  • Facility Name: SAFEWAY PHARMACY 1930
  • Facility Address: 8071 GUIDE MERIDIAN RD
    LYNDEN, WA
    ZIP 98264
  • Facility Phone: 360 318-0698
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1316976343
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2050637
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 1930
Street 8071 GUIDE MERIDIAN RD
City LYNDEN
State WA
ZIP 98264
Phone 360 318-0698
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