50D2071742 CLIA NUMBER - SAFEWAY PHARMACY #3006

Laboratory Demographics

  • CLIA Code: 50D2071742
  • Facility Name: SAFEWAY PHARMACY #3006
  • Facility Address: 1451 HIGHLANDS DR NE
    ISSAQUAH, WA
    ZIP 98029
  • Facility Phone: 425 392-4181
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1245667450
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2071742
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3006
Street 1451 HIGHLANDS DR NE
City ISSAQUAH
State WA
ZIP 98029
Phone 425 392-4181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2014
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