10D1092737 CLIA NUMBER - JOHNS HOPKINS ALL CHILDREN'S OUTPATIENT CARE, TAMPA

Laboratory Demographics

CLIA Number: 10D1092737

Facility Name: JOHNS HOPKINS ALL CHILDREN'S OUTPATIENT CARE, TAMPA

Facility Address:
12220 BRUCE B DOWNS BLVD
TAMPA, FL
ZIP 33612
Get Directions

Facility Phone Number: 813 631-5019

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1992710503

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	10D1092737
LAB Type	Other
Facility Name	JOHNS HOPKINS ALL CHILDREN'S OUTPATIENT CARE, TAMPA
Street	12220 BRUCE B DOWNS BLVD
City	TAMPA
State	FL
ZIP	33612
Phone	813 631-5019
CertificateType	4
CertificateEffectiveDate	12/3/2022
CertificateExpirationDate	12/2/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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