50D2058470 CLIA NUMBER - SAFEWAY PHARMACY #1664

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Laboratory Demographics

CLIA Number: 50D2058470

Facility Name: SAFEWAY PHARMACY #1664

Facility Address:
138 SW 148TH ST
BURIEN, WA
ZIP 98166
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Facility Phone Number: 206 243-2796

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1578509105

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	50D2058470
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #1664
Street	138 SW 148TH ST
City	BURIEN
State	WA
ZIP	98166
Phone	206 243-2796
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