50D2053313 CLIA NUMBER - SAFEWAY PHARMACY 3500

Laboratory Demographics

  • CLIA Code: 50D2053313
  • Facility Name: SAFEWAY PHARMACY 3500
  • Facility Address: 6850 NE BOTHELL WY
    KENMORE, WA
    ZIP 98028
  • Facility Phone: 425 486-1661
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1699711291
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2053313
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 3500
Street 6850 NE BOTHELL WY
City KENMORE
State WA
ZIP 98028
Phone 425 486-1661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2013
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