50D2008713 CLIA NUMBER - QFC PHARMACY #212

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Laboratory Demographics

CLIA Number: 50D2008713

Facility Name: QFC PHARMACY #212

Facility Address:
3505 SE 192ND
VANCOUVER, WA
ZIP 98683
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Facility Phone Number: 360 253-3043

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1134144777

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	50D2008713
LAB Type	Pharmacy
Facility Name	QFC PHARMACY #212
Street	3505 SE 192ND
City	VANCOUVER
State	WA
ZIP	98683
Phone	360 253-3043
CertificateType	4
CertificateEffectiveDate	6/16/2010
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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