50D2261151 CLIA NUMBER - SAFEWAY PHARMACY #2729

Laboratory Demographics

  • CLIA Code: 50D2261151
  • Facility Name: SAFEWAY PHARMACY #2729
  • Facility Address: 708 SHAW RD
    PUYALLUP, WA
    ZIP 98372
  • Facility Phone: 253 251-5115
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSAN TEGART
  • NPI Number: 1659926236
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2261151
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2729
Street 708 SHAW RD
City PUYALLUP
State WA
ZIP 98372
Phone 253 251-5115
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