50D2053406 CLIA NUMBER - SAFEWAY PHARMACY 0503

Laboratory Demographics

  • CLIA Code: 50D2053406
  • Facility Name: SAFEWAY PHARMACY 0503
  • Facility Address: 11031 19TH AVE SE
    EVERETT, WA
    ZIP 98208
  • Facility Phone: 425 201-6296
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1336178359
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2053406
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 0503
Street 11031 19TH AVE SE
City EVERETT
State WA
ZIP 98208
Phone 425 201-6296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2013
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