06D2075318 CLIA NUMBER - SAFEWAY PHARMACY #1578

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Laboratory Demographics

CLIA Number: 06D2075318

Facility Name: SAFEWAY PHARMACY #1578

Facility Address:
1101 E US HWY 24
WOODLAND PARK, CO
ZIP 80866
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Facility Phone Number: 719 686-9161

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1720017783

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	06D2075318
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #1578
Street	1101 E US HWY 24
City	WOODLAND PARK
State	CO
ZIP	80866
Phone	719 686-9161
CertificateType	4
CertificateEffectiveDate	11/10/2023
CertificateExpirationDate	11/9/2025
FacilityType	Waiver

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