10D1019510 CLIA NUMBER - PUBLIX PHARMACY #0693

Laboratory Demographics

  • CLIA Code: 10D1019510
  • Facility Name: PUBLIX PHARMACY #0693
  • Facility Address: 411 S CYPRESS RD
    POMPANO BEACH, FL
    ZIP 33060
  • Facility Phone: 954 784-3284
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JIM BOWEN
  • NPI Number: 1356380224
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D1019510
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #0693
Street 411 S CYPRESS RD
City POMPANO BEACH
State FL
ZIP 33060
Phone 954 784-3284
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Pharmacy
Lab Director JIM BOWEN

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