50D2261148 CLIA NUMBER - HAGGEN PHARMACY #3493

Laboratory Demographics

  • CLIA Code: 50D2261148
  • Facility Name: HAGGEN PHARMACY #3493
  • Facility Address: 1815 MAIN ST
    FERNDALE, WA
    ZIP 98248
  • Facility Phone: 360 380-7210
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1467807883
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2261148
LAB Type Pharmacy
Facility Name HAGGEN PHARMACY #3493
Street 1815 MAIN ST
City FERNDALE
State WA
ZIP 98248
Phone 360 380-7210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
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