50D2187005 CLIA NUMBER - RITE AID PHARMACY #06347

Laboratory Demographics

CLIA Number: 50D2187005

Facility Name: RITE AID PHARMACY #06347

Facility Address:
250 BASIN ST SW
EPHRATA, WA
ZIP 98823
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Facility Phone Number: 509 754-3513

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1912016239

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 50D2187005
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #06347
Street 250 BASIN ST SW
City EPHRATA
State WA
ZIP 98823
Phone 509 754-3513
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