10D0926885 CLIA NUMBER - CORAM HEALTHCARE CORP OF FLORIDA DBA CORAM CVS SPECIALTY INFUSION SERVICES

Laboratory Demographics

CLIA Number: 10D0926885

Facility Name: CORAM HEALTHCARE CORP OF FLORIDA DBA CORAM CVS SPECIALTY INFUSION SERVICES

Facility Address:
8508 BENJAMIN RD STE C
TAMPA, FL
ZIP 33634
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1417907627

Taxonomy: 3336H0001X - Pharmacy
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

CLIA Record

Field Name	Field Value
CLIA Number	10D0926885
LAB Type	Pharmacy
Facility Name	CORAM HEALTHCARE CORP OF FLORIDA DBA CORAM CVS SPECIALTY INFUSION SERVICES
Street	8508 BENJAMIN RD STE C
City	TAMPA
State	FL
ZIP	33634
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	4/3/2023
CertificateExpirationDate	4/2/2025
FacilityType	Waiver

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