50D2058371 CLIA NUMBER - SAFEWAY PHARMACY 2734

Laboratory Demographics

  • CLIA Code: 50D2058371
  • Facility Name: SAFEWAY PHARMACY 2734
  • Facility Address: 10020 NE 137TH ST
    KIRKLAND, WA
    ZIP 98034
  • Facility Phone: 425 821-0708
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN M. TEGART
  • NPI Number: 1578509188
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2058371
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 2734
Street 10020 NE 137TH ST
City KIRKLAND
State WA
ZIP 98034
Phone 425 821-0708
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 M. TEGART

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