50D2058360 CLIA NUMBER - SAFEWAY PHARMACY 2640

Laboratory Demographics

  • CLIA Code: 50D2058360
  • Facility Name: SAFEWAY PHARMACY 2640
  • Facility Address: 13308 MERIDIAN E
    PUYALLUP, WA
    ZIP 98373
  • Facility Phone: 253 435-1742
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TEGART SUSAN
  • NPI Number: 1245276831
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2058360
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 2640
Street 13308 MERIDIAN E
City PUYALLUP
State WA
ZIP 98373
Phone 253 435-1742
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2013
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director TEGART SUSAN

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This page was last updated on: 9/29/2025