45D1032737 CLIA NUMBER - SAV-ON PHARMACY #4272

Laboratory Demographics

CLIA Number: 45D1032737

Facility Name: SAV-ON PHARMACY #4272

Facility Address:
850 E LOOP 820
FORT WORTH, TX
ZIP 76112
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Facility Phone Number: 817 451-1637

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1972540433

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	45D1032737
LAB Type	Pharmacy
Facility Name	SAV-ON PHARMACY #4272
Street	850 E LOOP 820
City	FORT WORTH
State	TX
ZIP	76112
Phone	817 451-1637
CertificateType	4
CertificateEffectiveDate	1/6/2024
CertificateExpirationDate	1/5/2026
FacilityType	Waiver

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