03D2073023 CLIA NUMBER - SAFEWAY PHARMACY #1491

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Laboratory Demographics

CLIA Number: 03D2073023

Facility Name: SAFEWAY PHARMACY #1491

Facility Address:
7920 E CHAPARRAL
SCOTTSDALE, AZ
ZIP 85250
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Facility Phone Number: 312 208-3278

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1174552129

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	03D2073023
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #1491
Street	7920 E CHAPARRAL
City	SCOTTSDALE
State	AZ
ZIP	85250
Phone	312 208-3278
CertificateType	4
CertificateEffectiveDate	3/8/2024
CertificateExpirationDate	3/7/2026
FacilityType	Waiver

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