50D1105763 CLIA NUMBER - SAFEWAY PHARMACY #4313

Laboratory Demographics

CLIA Number: 50D1105763

Facility Name: SAFEWAY PHARMACY #4313

Facility Address:
904 W MAIN ST
BATTLEGROUND, WA
ZIP 98604
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Facility Phone Number: 360 723-9046

Facility Type: Industrial

Certificate Type: Waiver

NPI Number: 1487819876

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	50D1105763
LAB Type	Industrial
Facility Name	SAFEWAY PHARMACY #4313
Street	904 W MAIN ST
City	BATTLEGROUND
State	WA
ZIP	98604
Phone	360 723-9046
CertificateType	4
CertificateEffectiveDate	9/28/2009
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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