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10D0958185 CLIA NUMBER - PUBLIX PHARMACY #1007

Laboratory Demographics

CLIA Number: 10D0958185

Facility Name: PUBLIX PHARMACY #1007

Facility Address:
3015 PINE ISLAND RD SW
CAPE CORAL, FL
ZIP 33991
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Facility Phone Number: 239 145-1610

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1447299359

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 10D0958185
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1007
Street 3015 PINE ISLAND RD SW
City CAPE CORAL
State FL
ZIP 33991
Phone 239 145-1610
CertificateType 4
CertificateEffectiveDate 3/12/2023
CertificateExpirationDate 3/11/2025
FacilityType Waiver

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