50D2058475 CLIA NUMBER - SAFEWAY PHARMACY 792

Laboratory Demographics

  • CLIA Code: 50D2058475
  • Facility Name: SAFEWAY PHARMACY 792
  • Facility Address: 17023 SE 272ND ST
    COVINGTON, WA
    ZIP 98042
  • Facility Phone: 253 631-2450
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1063458651
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2058475
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 792
Street 17023 SE 272ND ST
City COVINGTON
State WA
ZIP 98042
Phone 253 631-2450
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