50D2050636 CLIA NUMBER - SAFEWAY PHARMACY 1864

Home > CLIA Lookup > 50D2050636

Laboratory Demographics

CLIA Number: 50D2050636

Facility Name: SAFEWAY PHARMACY 1864

Facility Address:
24040 BOTHELL EVERETT HWY
BOTHELL, WA
ZIP 98021
Get Directions

Facility Phone Number: 425 482-2829

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1467732735

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	50D2050636
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY 1864
Street	24040 BOTHELL EVERETT HWY
City	BOTHELL
State	WA
ZIP	98021
Phone	425 482-2829
CertificateType	4
CertificateEffectiveDate	12/3/2012
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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