50D2261085 CLIA NUMBER - HAGGEN PHARMACY #3600

Laboratory Demographics

  • CLIA Code: 50D2261085
  • Facility Name: HAGGEN PHARMACY #3600
  • Facility Address: 8915 MARKET PL NE
    LAKE STEVENS, WA
    ZIP 98258
  • Facility Phone: 425 377-7110
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1487009809
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2261085
LAB Type Pharmacy
Facility Name HAGGEN PHARMACY #3600
Street 8915 MARKET PL NE
City LAKE STEVENS
State WA
ZIP 98258
Phone 425 377-7110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2022
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