50D2127752 CLIA NUMBER - SAFEWAY PHARMACY #3321

Laboratory Demographics

  • CLIA Code: 50D2127752
  • Facility Name: SAFEWAY PHARMACY #3321
  • Facility Address: 4831 POINT FOSDICK DR NW
    GIG HARBOR, WA
    ZIP 98335
  • Facility Phone: 253 853-1736
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN A. TEGART
  • NPI Number: 1942665872
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2127752
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3321
Street 4831 POINT FOSDICK DR NW
City GIG HARBOR
State WA
ZIP 98335
Phone 253 853-1736
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2017
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director SUSAN A. TEGART

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This page was last updated on: 9/29/2025