Healther Providers Data Logo

50D0975319 CLIA NUMBER - SAFEWAY PHARMACY #1078

Laboratory Demographics

CLIA Number: 50D0975319

Facility Name: SAFEWAY PHARMACY #1078

Facility Address:
2930 OCEAN BEACH HWY
LONGVIEW, WA
ZIP 98632
Get Directions

Facility Phone Number: 360 575-6246

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1881625689

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 50D0975319
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1078
Street 2930 OCEAN BEACH HWY
City LONGVIEW
State WA
ZIP 98632
Phone 360 575-6246
CertificateType 4
CertificateEffectiveDate 7/5/2000
CertificateExpirationDate 4/4/2028
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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