50D2055642 CLIA NUMBER - BARTELL DRUGS #06934

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Laboratory Demographics

CLIA Number: 50D2055642

Facility Name: BARTELL DRUGS #06934

Facility Address:
12946 SE KENT KANGLEY RD
KENT, WA
ZIP 98030
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Facility Phone Number: 717 214-8545

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1073621785

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	50D2055642
LAB Type	Pharmacy
Facility Name	BARTELL DRUGS #06934
Street	12946 SE KENT KANGLEY RD
City	KENT
State	WA
ZIP	98030
Phone	717 214-8545
CertificateType	4
CertificateEffectiveDate	3/15/2013
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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