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50D2177143 CLIA NUMBER - RITE AID PHARMACY #05309

Laboratory Demographics

CLIA Number: 50D2177143

Facility Name: RITE AID PHARMACY #05309

Facility Address:
1443 N ARGONNE RD
SPOKANE, WA
ZIP 99212
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Facility Phone Number: 509 928-9121

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1144339466

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 50D2177143
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #05309
Street 1443 N ARGONNE RD
City SPOKANE
State WA
ZIP 99212
Phone 509 928-9121
CertificateType 4
CertificateEffectiveDate 1/6/2020
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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