10D0950512 CLIA NUMBER - BAY STREET PHARMACY

Laboratory Demographics

  • CLIA Code: 10D0950512
  • Facility Name: BAY STREET PHARMACY
  • Facility Address: 7746 BAY STREET
    SEBASTIAN, FL
    ZIP 32958
  • Facility Phone: 772 589-2043
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: THERESA L. TOLLE
  • NPI Number: 1528513595
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D0950512
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BAY STREET PHARMACY
Street 7746 BAY STREET
City SEBASTIAN
State FL
ZIP 32958
Phone 772 589-2043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director THERESA L. TOLLE

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This page was last updated on: 9/29/2025