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10D0996409 CLIA NUMBER - PUBLIX PHARMACY #1341

Laboratory Demographics

CLIA Number: 10D0996409

Facility Name: PUBLIX PHARMACY #1341

Facility Address:
500 E LAKE RD
PALM HARBOR, FL
ZIP 34685
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Facility Phone Number: 727 789-2879

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1073552915

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 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
CertificateType 4
CertificateEffectiveDate 2/18/2024
CertificateExpirationDate 2/17/2026
FacilityType Waiver

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