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50D1002410 CLIA NUMBER - QFC PHARMACY #101

Laboratory Demographics

CLIA Number: 50D1002410

Facility Name: QFC PHARMACY #101

Facility Address:
201 NE STATE ROUTE 300
BELFAIR, WA
ZIP 98528
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Facility Phone Number: 360 275-9671

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1225053861

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 50D1002410
LAB Type Pharmacy
Facility Name QFC PHARMACY #101
Street 201 NE STATE ROUTE 300
City BELFAIR
State WA
ZIP 98528
Phone 360 275-9671
CertificateType 4
CertificateEffectiveDate 8/6/2002
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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