Healther Providers Data Logo

28D2110474 CLIA NUMBER - SAFEWAY PHARMACY #0549

Laboratory Demographics

CLIA Number: 28D2110474

Facility Name: SAFEWAY PHARMACY #0549

Facility Address:
500 E THIRD STREET
ALLIANCE, NE
ZIP 69301
Get Directions

Facility Phone Number: 308 762-1258

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1104178490

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 28D2110474
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0549
Street 500 E THIRD STREET
City ALLIANCE
State NE
ZIP 69301
Phone 308 762-1258
CertificateType 4
CertificateEffectiveDate 3/15/2024
CertificateExpirationDate 3/14/2026
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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