50D2053325 CLIA NUMBER - SAFEWAY PHARMACY 1550

Laboratory Demographics

  • CLIA Code: 50D2053325
  • Facility Name: SAFEWAY PHARMACY 1550
  • Facility Address: 7300 ROOSEVELT WY NE
    SEATTLE, WA
    ZIP 98115
  • Facility Phone: 206 524-1649
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1093744013
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2053325
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 1550
Street 7300 ROOSEVELT WY NE
City SEATTLE
State WA
ZIP 98115
Phone 206 524-1649
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2013
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director SUSAN TEGART

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This page was last updated on: 3/20/2025