50D2058464 CLIA NUMBER - SAFEWAY PHARMACY 1524

Laboratory Demographics

  • CLIA Code: 50D2058464
  • Facility Name: SAFEWAY PHARMACY 1524
  • Facility Address: 1401 NE MCWILLIAMS RD
    BREMERTON, WA
    ZIP 98311
  • Facility Phone: 360 373-7226
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART,
  • NPI Number: 1740226356
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2058464
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 1524
Street 1401 NE MCWILLIAMS RD
City BREMERTON
State WA
ZIP 98311
Phone 360 373-7226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2013
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