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10D1021183 CLIA NUMBER - PUBLIX PHARMACY #0891

Laboratory Demographics

CLIA Number: 10D1021183

Facility Name: PUBLIX PHARMACY #0891

Facility Address:
30535 US HIGHWAY 19 N
PALM HARBOR, FL
ZIP 34684
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Facility Phone Number: 727 787-8869

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1013957422

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 10D1021183
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #0891
Street 30535 US HIGHWAY 19 N
City PALM HARBOR
State FL
ZIP 34684
Phone 727 787-8869
CertificateType 4
CertificateEffectiveDate 1/14/2024
CertificateExpirationDate 1/13/2026
FacilityType Waiver

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