50D2261088 CLIA NUMBER - HAGGEN PHARMACY #3498

Laboratory Demographics

  • CLIA Code: 50D2261088
  • Facility Name: HAGGEN PHARMACY #3498
  • Facility Address: 17641 GARDEN WAY NE
    WOODINVILLE, WA
    ZIP 98072
  • Facility Phone: (425) 398-6710
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1598798837
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2261088
LAB Type Pharmacy
Facility Name HAGGEN PHARMACY #3498
Street 17641 GARDEN WAY NE
City WOODINVILLE
State WA
ZIP 98072
Phone 4253986710
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: 5/18/2026