50D2058369 CLIA NUMBER - SAFEWAY PHARMACY #2645

Laboratory Demographics

  • CLIA Code: 50D2058369
  • Facility Name: SAFEWAY PHARMACY #2645
  • Facility Address: 5802 134TH PL SE
    EVERETT, WA
    ZIP 98208
  • Facility Phone: 425 332-6179
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TEGART SUSAN
  • NPI Number: 1023298320
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2058369
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2645
Street 5802 134TH PL SE
City EVERETT
State WA
ZIP 98208
Phone 425 332-6179
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