50D2261146 CLIA NUMBER - HAGGEN PHARMACY #3444

Laboratory Demographics

  • CLIA Code: 50D2261146
  • Facility Name: HAGGEN PHARMACY #3444
  • Facility Address: 1313 COOPER POINT RD SW
    OLYMPIA, WA
    ZIP 98502
  • Facility Phone: 360 754-1504
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1245263581
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2261146
LAB Type Pharmacy
Facility Name HAGGEN PHARMACY #3444
Street 1313 COOPER POINT RD SW
City OLYMPIA
State WA
ZIP 98502
Phone 360 754-1504
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2022
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