50D2188520 CLIA NUMBER - RITE AID PHARMACY #05295

Laboratory Demographics

CLIA Number: 50D2188520

Facility Name: RITE AID PHARMACY #05295

Facility Address:
609 OMACHE DR
OMAK, WA
ZIP 98841
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Facility Phone Number: 509 826-2806

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1003925314

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 50D2188520
LAB Type Pharmacy
Facility Name RITE AID PHARMACY #05295
Street 609 OMACHE DR
City OMAK
State WA
ZIP 98841
Phone 509 826-2806
CertificateType 4
CertificateEffectiveDate 7/17/2020
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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