50D2014812 CLIA NUMBER - SAFEWAY PHARMACY #3525

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Laboratory Demographics

CLIA Number: 50D2014812

Facility Name: SAFEWAY PHARMACY #3525

Facility Address:
1100 S MARKET BLVD
CHEHALIS, WA
ZIP 98532
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Facility Phone Number: 360 740-6750

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1285663203

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	50D2014812
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #3525
Street	1100 S MARKET BLVD
City	CHEHALIS
State	WA
ZIP	98532
Phone	360 740-6750
CertificateType	4
CertificateEffectiveDate	5/7/2013
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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