05D2248810 CLIA NUMBER - PHAST PHARMACY

Laboratory Demographics

CLIA Number: 05D2248810

Facility Name: PHAST PHARMACY

Facility Address:
1121 W COLUMBUS ST
BAKERSFIELD, CA
ZIP 93301
Get Directions

Facility Phone Number: 661 578-6500

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1093229320

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	05D2248810
LAB Type	Pharmacy
Facility Name	PHAST PHARMACY
Street	1121 W COLUMBUS ST
City	BAKERSFIELD
State	CA
ZIP	93301
Phone	661 578-6500
CertificateType	4
CertificateEffectiveDate	1/18/2024
CertificateExpirationDate	1/17/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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