12D2199176 CLIA NUMBER - RAINBOW PHARMACY LANAI

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Laboratory Demographics

CLIA Number: 12D2199176

Facility Name: RAINBOW PHARMACY LANAI

Facility Address:
431 7TH STREET
LANAI CITY, HI
ZIP 96763
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Facility Phone Number: 808 565-9332

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1588050983

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	12D2199176
LAB Type	Pharmacy
Facility Name	RAINBOW PHARMACY LANAI
Street	431 7TH STREET
City	LANAI CITY
State	HI
ZIP	96763
Phone	808 565-9332
CertificateType	4
CertificateEffectiveDate	11/5/2022
CertificateExpirationDate	11/4/2024
FacilityType	Waiver

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