49D2202419 CLIA NUMBER - RITE AID PHARMACY 03706

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Laboratory Demographics

CLIA Number: 49D2202419

Facility Name: RITE AID PHARMACY 03706

Facility Address:
1801 HULL STREET
RICHMOND, VA
ZIP 23224
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Facility Phone Number: 804 230-6645

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1144339458

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	49D2202419
LAB Type	Pharmacy
Facility Name	RITE AID PHARMACY 03706
Street	1801 HULL STREET
City	RICHMOND
State	VA
ZIP	23224
Phone	804 230-6645
CertificateType	4
CertificateEffectiveDate	11/27/2022
CertificateExpirationDate	11/26/2024
FacilityType	Waiver

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