50D2111876 CLIA NUMBER - SAV-ON PHARMACY 3106

Laboratory Demographics

  • CLIA Code: 50D2111876
  • Facility Name: SAV-ON PHARMACY 3106
  • Facility Address: 11012 CANYON RD E
    PUYALLUP, WA
    ZIP 98373
  • Facility Phone: 253 537-1517
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1659739662
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2111876
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY 3106
Street 11012 CANYON RD E
City PUYALLUP
State WA
ZIP 98373
Phone 253 537-1517
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2016
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