50D2187096 CLIA NUMBER - RITE AID PHARMACY #06539

Laboratory Demographics

CLIA Number: 50D2187096

Facility Name: RITE AID PHARMACY #06539

Facility Address:
608 W STANLEY ST
GRANITE FALLS, WA
ZIP 98252
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Facility Phone Number: 360 691-4659

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1467600569

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	50D2187096
LAB Type	Pharmacy
Facility Name	RITE AID PHARMACY #06539
Street	608 W STANLEY ST
City	GRANITE FALLS
State	WA
ZIP	98252
Phone	360 691-4659
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