49D2201693 CLIA NUMBER - RITE AID PHARMACY 11249

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Laboratory Demographics

CLIA Number: 49D2201693

Facility Name: RITE AID PHARMACY 11249

Facility Address:
1104 COURTHOUSE ROAD
RICHMOND, VA
ZIP 23236
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Facility Phone Number: 804 378-1877

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1265531404

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	49D2201693
LAB Type	Pharmacy
Facility Name	RITE AID PHARMACY 11249
Street	1104 COURTHOUSE ROAD
City	RICHMOND
State	VA
ZIP	23236
Phone	804 378-1877
CertificateType	4
CertificateEffectiveDate	11/23/2022
CertificateExpirationDate	11/22/2024
FacilityType	Waiver

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