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50D1034880 CLIA NUMBER - SAFEWAY PHARMACY 419

Laboratory Demographics

CLIA Number: 50D1034880

Facility Name: SAFEWAY PHARMACY 419

Facility Address:
370 SW SEDGWICK RD
PORT ORCHARD, WA
ZIP 98367
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Facility Phone Number: 360 876-2698

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1205882826

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 50D1034880
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 419
Street 370 SW SEDGWICK RD
City PORT ORCHARD
State WA
ZIP 98367
Phone 360 876-2698
CertificateType 4
CertificateEffectiveDate 12/15/2004
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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