06D2075463 CLIA NUMBER - SAFEWAY PHARMACY #2246

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Laboratory Demographics

CLIA Number: 06D2075463

Facility Name: SAFEWAY PHARMACY #2246

Facility Address:
757 E 20TH AVE
DENVER, CO
ZIP 80205
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Facility Phone Number: 303 861-1212

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1902842529

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	06D2075463
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #2246
Street	757 E 20TH AVE
City	DENVER
State	CO
ZIP	80205
Phone	303 861-1212
CertificateType	4
CertificateEffectiveDate	11/12/2023
CertificateExpirationDate	11/11/2025
FacilityType	Waiver

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