03D2111176 CLIA NUMBER - ALBERTSONS PHARMACY #3204

Laboratory Demographics

CLIA Number: 03D2111176

Facility Name: ALBERTSONS PHARMACY #3204

Facility Address:
1980 MCCULLOCH BLVD
LAKE HAVASU CITY, AZ
ZIP 86403
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Facility Phone Number: (928) 854-8281

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1346605185

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	03D2111176
LAB Type	PHARMACY
Facility Name	ALBERTSONS PHARMACY #3204
Street	1980 MCCULLOCH BLVD
City	LAKE HAVASU CITY
State	AZ
ZIP	86403
Phone	(928) 854-8281

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This page was last updated on: 5/11/2023