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50D0964314 CLIA NUMBER - FRED MEYER PHARMACY #25

Laboratory Demographics

CLIA Number: 50D0964314

Facility Name: FRED MEYER PHARMACY #25

Facility Address:
800 LAKEWAY DRIVE
BELLINGHAM, WA
ZIP 98226
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Facility Phone Number: 360 676-1105

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1861438301

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 50D0964314
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #25
Street 800 LAKEWAY DRIVE
City BELLINGHAM
State WA
ZIP 98226
Phone 360 676-1105
CertificateType 4
CertificateEffectiveDate 8/23/1999
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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