50D2061172 CLIA NUMBER - SAFEWAY PHARMACY #1740

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Laboratory Demographics

CLIA Number: 50D2061172

Facility Name: SAFEWAY PHARMACY #1740

Facility Address:
2710 1ST ST
CHENEY, WA
ZIP 99004
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Facility Phone Number: 509 235-6030

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1508895533

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	50D2061172
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #1740
Street	2710 1ST ST
City	CHENEY
State	WA
ZIP	99004
Phone	509 235-6030
CertificateType	4
CertificateEffectiveDate	6/24/2013
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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