50D2053315 CLIA NUMBER - SAFEWAY PHARMACY 0537

Laboratory Demographics

  • CLIA Code: 50D2053315
  • Facility Name: SAFEWAY PHARMACY 0537
  • Facility Address: 19651 STATE ROUTE 2
    MONROE, WA
    ZIP 98272
  • Facility Phone: 360 794-9644
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1982640587
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2053315
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 0537
Street 19651 STATE ROUTE 2
City MONROE
State WA
ZIP 98272
Phone 360 794-9644
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