50D2014815 CLIA NUMBER - SAFEWAY PHARMACY 1544

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Laboratory Demographics

CLIA Number: 50D2014815

Facility Name: SAFEWAY PHARMACY 1544

Facility Address:
1150 BASIN ST SW
EPHRATA, WA
ZIP 98823
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Facility Phone Number: 509 754-3567

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1780620377

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	50D2014815
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY 1544
Street	1150 BASIN ST SW
City	EPHRATA
State	WA
ZIP	98823
Phone	509 754-3567
CertificateType	4
CertificateEffectiveDate	10/15/2010
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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