46D2012025 CLIA NUMBER - SMITH'S PHARMACY #189

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Laboratory Demographics

CLIA Number: 46D2012025

Facility Name: SMITH'S PHARMACY #189

Facility Address:
20 NORTH BLUFF ST
ST GEORGE, UT
ZIP 84770
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Facility Phone Number: 435 673-8898

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1588689111

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	46D2012025
LAB Type	Pharmacy
Facility Name	SMITH'S PHARMACY #189
Street	20 NORTH BLUFF ST
City	ST GEORGE
State	UT
ZIP	84770
Phone	435 673-8898
CertificateType	4
CertificateEffectiveDate	8/26/2022
CertificateExpirationDate	8/25/2024
FacilityType	Waiver

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