02D2246418 CLIA NUMBER - SAFEWAY PHARMACY #1833

Laboratory Demographics

CLIA Number: 02D2246418

Facility Name: SAFEWAY PHARMACY #1833

Facility Address:
109 E PIONEER DR
VALDEZ, AK
ZIP 99686
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Facility Phone Number: 907 461-3313

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1891170239

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	02D2246418
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #1833
Street	109 E PIONEER DR
City	VALDEZ
State	AK
ZIP	99686
Phone	907 461-3313
CertificateType	4
CertificateEffectiveDate	12/26/2023
CertificateExpirationDate	12/25/2025
FacilityType	Waiver

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