10D2058119 CLIA NUMBER - RITECARE PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2058119
  • Facility Name: RITECARE PHARMACY
  • Facility Address: 12014 E COLONIAL DR STE 140
    ORLANDO, FL
    ZIP 32828
  • Facility Phone: 407 203-6895
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANH PHUONG N. VU
  • NPI Number: 1164762381
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2058119
LAB Type Pharmacy
Facility Name RITECARE PHARMACY
Street 12014 E COLONIAL DR STE 140
City ORLANDO
State FL
ZIP 32828
Phone 407 203-6895
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2023
Certificate Expiration Date 4/29/2025
Facility Type Pharmacy
Lab Director ANH PHUONG N. VU

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This page was last updated on: 3/20/2025