50D2058368 CLIA NUMBER - SAFEWAY PHARMACY 1966

Laboratory Demographics

  • CLIA Code: 50D2058368
  • Facility Name: SAFEWAY PHARMACY 1966
  • Facility Address: 13101 SE KENT KANGLEY RD
    KENT, WA
    ZIP 98031
  • Facility Phone: 253 638-0831
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1598794521
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2058368
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 1966
Street 13101 SE KENT KANGLEY RD
City KENT
State WA
ZIP 98031
Phone 253 638-0831
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 SUSAN TEGART

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