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10D0958224 CLIA NUMBER - PUBLIX PHARMACY #0537

Laboratory Demographics

CLIA Number: 10D0958224

Facility Name: PUBLIX PHARMACY #0537

Facility Address:
3720 NW 13TH ST STE 9
GAINESVILLE, FL
ZIP 32609
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Facility Phone Number: 352 335-2363

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1609816081

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 10D0958224
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #0537
Street 3720 NW 13TH ST STE 9
City GAINESVILLE
State FL
ZIP 32609
Phone 352 335-2363
CertificateType 4
CertificateEffectiveDate 3/15/2023
CertificateExpirationDate 3/14/2025
FacilityType Waiver

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