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50D2135619 CLIA NUMBER - RITE AID PHARMACY #06325

Laboratory Demographics

CLIA Number: 50D2135619

Facility Name: RITE AID PHARMACY #06325

Facility Address:
10822 68TH AVE NE
KENMORE, WA
ZIP 98028
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Facility Phone Number: 425 424-2320

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1821107145

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 50D2135619
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #06325
Street 10822 68TH AVE NE
City KENMORE
State WA
ZIP 98028
Phone 425 424-2320
CertificateType 4
CertificateEffectiveDate 8/24/2017
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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