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50D2186968 CLIA NUMBER - RITE AID PHARMACY #05300

Laboratory Demographics

CLIA Number: 50D2186968

Facility Name: RITE AID PHARMACY #05300

Facility Address:
2010 YAKIMA VALLEY HWY STE C1
SUNNYSIDE, WA
ZIP 98944
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Facility Phone Number: 509 839-2711

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1013026327

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 50D2186968
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #05300
Street 2010 YAKIMA VALLEY HWY STE C1
City SUNNYSIDE
State WA
ZIP 98944
Phone 509 839-2711
CertificateType 4
CertificateEffectiveDate 6/24/2020
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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