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09D2252219 CLIA NUMBER - SAFEWAY PHARMACY #4202

Laboratory Demographics

CLIA Number: 09D2252219

Facility Name: SAFEWAY PHARMACY #4202

Facility Address:
1747 COLUMBIA ROAD NW
WASHINGTON, DC
ZIP 20009
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Facility Phone Number: 202 667-2080

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1215973094

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 09D2252219
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #4202
Street 1747 COLUMBIA ROAD NW
City WASHINGTON
State DC
ZIP 20009
Phone 202 667-2080
CertificateType 4
CertificateEffectiveDate 2/9/2024
CertificateExpirationDate 2/8/2026
FacilityType Waiver

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