50D2059957 CLIA NUMBER - BARTELL DRUGS - 4TH AND MADISON #61

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Laboratory Demographics

CLIA Number: 50D2059957

Facility Name: BARTELL DRUGS - 4TH AND MADISON #61

Facility Address:
910 4TH AVE
SEATTLE, WA
ZIP 98164
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Facility Phone Number: 717 214-8545

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1548244890

Taxonomy: 183700000X - Pharmacy Technician
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

CLIA Record

Field Name	Field Value
CLIA Number	50D2059957
LAB Type	Pharmacy
Facility Name	BARTELL DRUGS - 4TH AND MADISON #61
Street	910 4TH AVE
City	SEATTLE
State	WA
ZIP	98164
Phone	717 214-8545
CertificateType	4
CertificateEffectiveDate	6/4/2013
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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