06D2070691 CLIA NUMBER - SAFEWAY PHARMACY #2910

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Laboratory Demographics

CLIA Number: 06D2070691

Facility Name: SAFEWAY PHARMACY #2910

Facility Address:
1632 HOVER RD
LONGMONT, CO
ZIP 80501
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Facility Phone Number: 303 776-0508

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1407892003

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	06D2070691
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #2910
Street	1632 HOVER RD
City	LONGMONT
State	CO
ZIP	80501
Phone	303 776-0508
CertificateType	4
CertificateEffectiveDate	11/3/2023
CertificateExpirationDate	11/2/2025
FacilityType	Waiver

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