50D2062325 CLIA NUMBER - SAFEWAY PHARMACY #1589

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Laboratory Demographics

CLIA Number: 50D2062325

Facility Name: SAFEWAY PHARMACY #1589

Facility Address:
116 RIVER BEND DR
LEAVENWORTH, WA
ZIP 98826
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Facility Phone Number: 509 548-5811

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1821034687

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	50D2062325
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #1589
Street	116 RIVER BEND DR
City	LEAVENWORTH
State	WA
ZIP	98826
Phone	509 548-5811
CertificateType	4
CertificateEffectiveDate	7/15/2013
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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