02D0978395 CLIA NUMBER - FRED MEYER PHARMACY #071

Laboratory Demographics

CLIA Number: 02D0978395

Facility Name: FRED MEYER PHARMACY #071

Facility Address:
2000 W DIMOND BLVD
ANCHORAGE, AK
ZIP 99515
Get Directions

Facility Phone Number: 907 267-6733

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1467497537

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	02D0978395
LAB Type	Pharmacy
Facility Name	FRED MEYER PHARMACY #071
Street	2000 W DIMOND BLVD
City	ANCHORAGE
State	AK
ZIP	99515
Phone	907 267-6733
CertificateType	4
CertificateEffectiveDate	9/22/2022
CertificateExpirationDate	9/21/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024