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10D0958226 CLIA NUMBER - PUBLIX PHARMACY #0073

Laboratory Demographics

CLIA Number: 10D0958226

Facility Name: PUBLIX PHARMACY #0073

Facility Address:
9400 HARDING AVE
SURFSIDE, FL
ZIP 33154
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Facility Phone Number: 305 865-4378

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1538108592

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 10D0958226
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #0073
Street 9400 HARDING AVE
City SURFSIDE
State FL
ZIP 33154
Phone 305 865-4378
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