14D2112001 CLIA NUMBER - BARTLETT PHARMACY INC

Laboratory Demographics

CLIA Number: 14D2112001

Facility Name: BARTLETT PHARMACY INC

Facility Address:
300 W BARTLETT AVE
BARTLETT, IL
ZIP 60103
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Facility Phone Number: 630 855-5178

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1518328186

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 14D2112001
LAB Type Pharmacy
Facility Name BARTLETT PHARMACY INC
Street 300 W BARTLETT AVE
City BARTLETT
State IL
ZIP 60103
Phone 630 855-5178
CertificateType 4
CertificateEffectiveDate 4/20/2024
CertificateExpirationDate 4/19/2026
FacilityType Waiver

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