02D2040328 CLIA NUMBER - SAFEWAY PHARMACY #2754

Home > CLIA Lookup > 02D2040328

Laboratory Demographics

CLIA Number: 02D2040328

Facility Name: SAFEWAY PHARMACY #2754

Facility Address:
3627 AIRPORT WAY
FAIRBANKS, AK
ZIP 99701
Get Directions

Facility Phone Number: 907 374-4060

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1649209685

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	02D2040328
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #2754
Street	3627 AIRPORT WAY
City	FAIRBANKS
State	AK
ZIP	99701
Phone	907 374-4060
CertificateType	4
CertificateEffectiveDate	4/27/2024
CertificateExpirationDate	4/26/2026
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