50D2197125 CLIA NUMBER - HAGGEN PHARMACY #3482

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Laboratory Demographics

CLIA Number: 50D2197125

Facility Name: HAGGEN PHARMACY #3482

Facility Address:
1301 AVENUE D
SNOHOMISH, WA
ZIP 98290
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Facility Phone Number: 360 568-5154

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1538514955

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	50D2197125
LAB Type	Pharmacy
Facility Name	HAGGEN PHARMACY #3482
Street	1301 AVENUE D
City	SNOHOMISH
State	WA
ZIP	98290
Phone	360 568-5154
CertificateType	4
CertificateEffectiveDate	10/21/2020
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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