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45D1032727 CLIA NUMBER - ALBERTSON'S PHARMACY #4267

Laboratory Demographics

CLIA Number: 45D1032727

Facility Name: ALBERTSON'S PHARMACY #4267

Facility Address:
6249 RUFE SNOW DRIVE
WATAUGA, TX
ZIP 76148
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Facility Phone Number: 817 428-0371

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1457669509

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 45D1032727
LAB Type Pharmacy
Facility Name ALBERTSON'S PHARMACY #4267
Street 6249 RUFE SNOW DRIVE
City WATAUGA
State TX
ZIP 76148
Phone 817 428-0371
CertificateType 4
CertificateEffectiveDate 3/9/2023
CertificateExpirationDate 3/8/2025
FacilityType Waiver

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