02D2010295 CLIA NUMBER - SAFEWAY PHARMACY #3410

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Laboratory Demographics

CLIA Number: 02D2010295

Facility Name: SAFEWAY PHARMACY #3410

Facility Address:
30 COLLEGE ROAD
FAIRBANKS, AK
ZIP 99701
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Facility Phone Number: 907 374-4160

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1003845041

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	02D2010295
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #3410
Street	30 COLLEGE ROAD
City	FAIRBANKS
State	AK
ZIP	99701
Phone	907 374-4160
CertificateType	4
CertificateEffectiveDate	7/23/2022
CertificateExpirationDate	7/22/2024
FacilityType	Waiver

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