50D1033041 CLIA NUMBER - SAFEWAY PHARMACY 258

Laboratory Demographics

CLIA Number: 50D1033041

Facility Name: SAFEWAY PHARMACY 258

Facility Address:
13606 E 32ND AVE
SPOKANE, WA
ZIP 99206
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Facility Phone Number: 509 892-3659

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1932155447

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	50D1033041
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY 258
Street	13606 E 32ND AVE
City	SPOKANE
State	WA
ZIP	99206
Phone	509 892-3659
CertificateType	4
CertificateEffectiveDate	11/3/2004
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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