50D2058468 CLIA NUMBER - SAFEWAY PHARMACY #1571

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Laboratory Demographics

CLIA Number: 50D2058468

Facility Name: SAFEWAY PHARMACY #1571

Facility Address:
23961 NE STATE ROUTE 3
BELFAIR, WA
ZIP 98528
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Facility Phone Number: 360 275-0953

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1902835929

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	50D2058468
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #1571
Street	23961 NE STATE ROUTE 3
City	BELFAIR
State	WA
ZIP	98528
Phone	360 275-0953
CertificateType	4
CertificateEffectiveDate	5/8/2013
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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