50D2053314 CLIA NUMBER - SAFEWAY PHARMACY 0526

Laboratory Demographics

  • CLIA Code: 50D2053314
  • Facility Name: SAFEWAY PHARMACY 0526
  • Facility Address: 14444 124TH AVE NE
    KIRKLAND, WA
    ZIP 98034
  • Facility Phone: 425 821-7455
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1215968011
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2053314
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 0526
Street 14444 124TH AVE NE
City KIRKLAND
State WA
ZIP 98034
Phone 425 821-7455
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: 9/29/2025