10D2088271 CLIA NUMBER - PUBLIX PHARMACY #0023

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Laboratory Demographics

CLIA Number: 10D2088271

Facility Name: PUBLIX PHARMACY #0023

Facility Address:
6790 FOREST HILL BLVD
GREENACRES, FL
ZIP 33413
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Facility Phone Number: 561 304-4983

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1932149317

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	10D2088271
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #0023
Street	6790 FOREST HILL BLVD
City	GREENACRES
State	FL
ZIP	33413
Phone	561 304-4983
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