50D2058356 CLIA NUMBER - SAFEWAY PHARMACY #1952

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Laboratory Demographics

CLIA Number: 50D2058356

Facility Name: SAFEWAY PHARMACY #1952

Facility Address:
4280 MARTIN WAY E
OLYMPIA, WA
ZIP 98501
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Facility Phone Number: 360 456-0709

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1134158165

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	50D2058356
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #1952
Street	4280 MARTIN WAY E
City	OLYMPIA
State	WA
ZIP	98501
Phone	360 456-0709
CertificateType	4
CertificateEffectiveDate	5/6/2013
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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