06D2075470 CLIA NUMBER - SAFEWAY PHARMACY #2666

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Laboratory Demographics

CLIA Number: 06D2075470

Facility Name: SAFEWAY PHARMACY #2666

Facility Address:
4548 CENTERPLACE DR
GREELEY, CO
ZIP 80634
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Facility Phone Number: 970 330-9962

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1053342873

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	06D2075470
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #2666
Street	4548 CENTERPLACE DR
City	GREELEY
State	CO
ZIP	80634
Phone	970 330-9962
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