50D2061172 CLIA NUMBER - SAFEWAY PHARMACY #1740

Laboratory Demographics

  • CLIA Code: 50D2061172
  • Facility Name: SAFEWAY PHARMACY #1740
  • Facility Address: 2710 1ST ST
    CHENEY, WA
    ZIP 99004
  • Facility Phone: 509 235-6030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1508895533
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2061172
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1740
Street 2710 1ST ST
City CHENEY
State WA
ZIP 99004
Phone 509 235-6030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2013
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