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45D1032560 CLIA NUMBER - SAV-ON PHARMACY #4150

Laboratory Demographics

CLIA Number: 45D1032560

Facility Name: SAV-ON PHARMACY #4150

Facility Address:
6308 LAKE WORTH BLVD
LAKE WORTH, TX
ZIP 76135
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Facility Phone Number: 817 237-8128

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1417994971

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 45D1032560
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #4150
Street 6308 LAKE WORTH BLVD
City LAKE WORTH
State TX
ZIP 76135
Phone 817 237-8128
CertificateType 4
CertificateEffectiveDate 12/9/2022
CertificateExpirationDate 12/8/2024
FacilityType Waiver

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