05D2080547 CLIA NUMBER - SAFEWAY PHARMACY #0273

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Laboratory Demographics

CLIA Number: 05D2080547

Facility Name: SAFEWAY PHARMACY #0273

Facility Address:
2601 BALLS FERRY RD
ANDERSON, CA
ZIP 96007
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Facility Phone Number: 530 365-1010

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1861421810

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	05D2080547
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #0273
Street	2601 BALLS FERRY RD
City	ANDERSON
State	CA
ZIP	96007
Phone	530 365-1010
CertificateType	4
CertificateEffectiveDate	7/9/2022
CertificateExpirationDate	7/8/2024
FacilityType	Waiver

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