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50D2135583 CLIA NUMBER - RITE AID PHARMACY #05228

Laboratory Demographics

CLIA Number: 50D2135583

Facility Name: RITE AID PHARMACY #05228

Facility Address:
655 NW RICHMOND BEACH RD
SHORELINE, WA
ZIP 98177
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Facility Phone Number: 206 542-9688

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1285640565

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 50D2135583
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #05228
Street 655 NW RICHMOND BEACH RD
City SHORELINE
State WA
ZIP 98177
Phone 206 542-9688
CertificateType 4
CertificateEffectiveDate 8/23/2017
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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