50D2127767 CLIA NUMBER - SAFEWAY PHARMACY #3319

Laboratory Demographics

  • CLIA Code: 50D2127767
  • Facility Name: SAFEWAY PHARMACY #3319
  • Facility Address: 4300 NE 4TH ST
    RENTON, WA
    ZIP 98059
  • Facility Phone: 425 873-2091
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1922464015
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2127767
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3319
Street 4300 NE 4TH ST
City RENTON
State WA
ZIP 98059
Phone 425 873-2091
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 TEGART

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