50D2053326 CLIA NUMBER - SAFEWAY PHARMACY 1885

Laboratory Demographics

  • CLIA Code: 50D2053326
  • Facility Name: SAFEWAY PHARMACY 1885
  • Facility Address: 516 1ST AVE W
    SEATTLE, WA
    ZIP 98119
  • Facility Phone: 206 494-1700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1043249071
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2053326
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 1885
Street 516 1ST AVE W
City SEATTLE
State WA
ZIP 98119
Phone 206 494-1700
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: 9/29/2025