03D2073041 CLIA NUMBER - SAFEWAY PHARMACY #1663

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Laboratory Demographics

CLIA Number: 03D2073041

Facility Name: SAFEWAY PHARMACY #1663

Facility Address:
20901 N PIMA RD
SCOTTSDALE, AZ
ZIP 85255
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Facility Phone Number: 480 585-3026

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1821020652

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	03D2073041
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #1663
Street	20901 N PIMA RD
City	SCOTTSDALE
State	AZ
ZIP	85255
Phone	480 585-3026
CertificateType	4
CertificateEffectiveDate	2/10/2024
CertificateExpirationDate	2/9/2026
FacilityType	Waiver

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