50D2058436 CLIA NUMBER - SAFEWAY PHARMACY 0538

Laboratory Demographics

  • CLIA Code: 50D2058436
  • Facility Name: SAFEWAY PHARMACY 0538
  • Facility Address: 442 W SIMS WAY
    PORT TOWNSEND, WA
    ZIP 98368
  • Facility Phone: 360 385-2860
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1881630481
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2058436
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 0538
Street 442 W SIMS WAY
City PORT TOWNSEND
State WA
ZIP 98368
Phone 360 385-2860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2013
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director SUSAN TEGART

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This page was last updated on: 6/4/2025