50D2058447 CLIA NUMBER - SAFEWAY PHARMACY 1252

Laboratory Demographics

  • CLIA Code: 50D2058447
  • Facility Name: SAFEWAY PHARMACY 1252
  • Facility Address: 253 HIGH SCHOOL RD NE
    BAINBRIDGE ISLAND, WA
    ZIP 98110
  • Facility Phone: 206 842-0127
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1952330979
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2058447
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 1252
Street 253 HIGH SCHOOL RD NE
City BAINBRIDGE ISLAND
State WA
ZIP 98110
Phone 206 842-0127
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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