50D2097073 CLIA NUMBER - SAFEWAY PHARMACY #0402

Laboratory Demographics

  • CLIA Code: 50D2097073
  • Facility Name: SAFEWAY PHARMACY #0402
  • Facility Address: 1450 SW ERIE ST
    OAK HARBOR, WA
    ZIP 98277
  • Facility Phone: 360 240-1063
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1467844530
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2097073
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0402
Street 1450 SW ERIE ST
City OAK HARBOR
State WA
ZIP 98277
Phone 360 240-1063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2015
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