50D1090160 CLIA NUMBER - UNITY CARE NORTHWEST - FERNDALE

Laboratory Demographics

CLIA Number: 50D1090160

Facility Name: UNITY CARE NORTHWEST - FERNDALE

Facility Address:
6060 PORTAL WAY
FERNDALE, WA
ZIP 98248
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Facility Phone Number: 360 752-7410

Facility Type: Public Health Laboratories

Certificate Type: Waiver

NPI Number: 1801359112

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 50D1090160
LAB Type Public Health Laboratories
Facility Name UNITY CARE NORTHWEST - FERNDALE
Street 6060 PORTAL WAY
City FERNDALE
State WA
ZIP 98248
Phone 360 752-7410
CertificateType 4
CertificateEffectiveDate 10/3/2008
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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