01D2086974 CLIA NUMBER - PUBLIX PHARMACY #1213

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Laboratory Demographics

CLIA Number: 01D2086974

Facility Name: PUBLIX PHARMACY #1213

Facility Address:
25771 PERDIDO BEACH BLVD
ORANGE BEACH, AL
ZIP 36561
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Facility Phone Number: 251 980-1445

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1447414941

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	01D2086974
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1213
Street	25771 PERDIDO BEACH BLVD
City	ORANGE BEACH
State	AL
ZIP	36561
Phone	251 980-1445
CertificateType	4
CertificateEffectiveDate	11/14/2022
CertificateExpirationDate	11/13/2024
FacilityType	Waiver

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