50D0975318 CLIA NUMBER - SAFEWAY PHARMACY #400

Laboratory Demographics

CLIA Number: 50D0975318

Facility Name: SAFEWAY PHARMACY #400

Facility Address:
3707 N MAIN ST
VANCOUVER, WA
ZIP 98663
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Facility Phone Number: 360 993-8604

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1508802190

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	50D0975318
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #400
Street	3707 N MAIN ST
City	VANCOUVER
State	WA
ZIP	98663
Phone	360 993-8604
CertificateType	4
CertificateEffectiveDate	7/5/2000
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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