10D0996409 CLIA NUMBER - PUBLIX PHARMACY #1341

Laboratory Demographics

  • CLIA Code: 10D0996409
  • Facility Name: PUBLIX PHARMACY #1341
  • Facility Address: 500 E LAKE RD
    PALM HARBOR, FL
    ZIP 34685
  • Facility Phone: 727 789-2879
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY BONE
  • NPI Number: 1073552915
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0996409
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1341
Street 500 E LAKE RD
City PALM HARBOR
State FL
ZIP 34685
Phone 727 789-2879
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Pharmacy
Lab Director KIMBERLY BONE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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