10D2088225 CLIA NUMBER - PUBLIX PHARMACY #1488

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Laboratory Demographics

CLIA Number: 10D2088225

Facility Name: PUBLIX PHARMACY #1488

Facility Address:
440 N ORLANDO AVE
WINTER PARK, FL
ZIP 32789
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Facility Phone Number: 407 644-3033

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1215182704

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	10D2088225
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1488
Street	440 N ORLANDO AVE
City	WINTER PARK
State	FL
ZIP	32789
Phone	407 644-3033
CertificateType	4
CertificateEffectiveDate	12/12/2022
CertificateExpirationDate	12/11/2024
FacilityType	Waiver

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