38D2274008 CLIA NUMBER - SAFEWAY PHARMACY #4262

Laboratory Demographics

CLIA Number: 38D2274008

Facility Name: SAFEWAY PHARMACY #4262

Facility Address:
3 E FIRST ST
COQUILLE, OR
ZIP 97423
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Facility Phone Number: 541 396-2422

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1134165731

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 38D2274008
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #4262
Street 3 E FIRST ST
City COQUILLE
State OR
ZIP 97423
Phone 541 396-2422
CertificateType 4
CertificateEffectiveDate 12/22/2022
CertificateExpirationDate 12/21/2024
FacilityType Waiver

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