10D2026670 CLIA NUMBER - CORAM ALTERNATE SITE SERVICES INC DBA CORAM CVS SPECIALTY INFUSION SERVICES

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Laboratory Demographics

CLIA Number: 10D2026670

Facility Name: CORAM ALTERNATE SITE SERVICES INC DBA CORAM CVS SPECIALTY INFUSION SERVICES

Facility Address:
3439 N 12TH AVE STE A & B
PENSACOLA, FL
ZIP 32503
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1578866737

Taxonomy: 3336H0001X - Pharmacy
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

CLIA Record

Field Name	Field Value
CLIA Number	10D2026670
LAB Type	Pharmacy
Facility Name	CORAM ALTERNATE SITE SERVICES INC DBA CORAM CVS SPECIALTY INFUSION SERVICES
Street	3439 N 12TH AVE STE A & B
City	PENSACOLA
State	FL
ZIP	32503
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	7/7/2023
CertificateExpirationDate	7/6/2025
FacilityType	Waiver

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