10D2060849 CLIA NUMBER - DOCTOR TODAY TLC LLC

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Laboratory Demographics

CLIA Number: 10D2060849

Facility Name: DOCTOR TODAY TLC LLC

Facility Address:
101 MAGNOLIA AVE
AUBURNDALE, FL
ZIP 33823
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Facility Phone Number: 863 858-8000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1528460128

Taxonomy: 3336C0002X - Pharmacy
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

CLIA Record

Field Name	Field Value
CLIA Number	10D2060849
LAB Type	Physician Office
Facility Name	DOCTOR TODAY TLC LLC
Street	101 MAGNOLIA AVE
City	AUBURNDALE
State	FL
ZIP	33823
Phone	863 858-8000
CertificateType	4
CertificateEffectiveDate	12/7/2023
CertificateExpirationDate	12/6/2025
FacilityType	Waiver

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