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50D2186950 CLIA NUMBER - RITE AID PHARMACY #05285

Laboratory Demographics

CLIA Number: 50D2186950

Facility Name: RITE AID PHARMACY #05285

Facility Address:
551 S MARKET BLVD
CHEHALIS, WA
ZIP 98532
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Facility Phone Number: 360 748-8801

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1841309150

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 50D2186950
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #05285
Street 551 S MARKET BLVD
City CHEHALIS
State WA
ZIP 98532
Phone 360 748-8801
CertificateType 4
CertificateEffectiveDate 6/23/2020
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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