10D2088273 CLIA NUMBER - PUBLIX PHARMACY #0055

Home > CLIA Lookup > 10D2088273

Laboratory Demographics

CLIA Number: 10D2088273

Facility Name: PUBLIX PHARMACY #0055

Facility Address:
1700 S CONGRESS AVE
PALM SPRINGS, FL
ZIP 33461
Get Directions

Facility Phone Number: 561 966-5114

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1609815554

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	10D2088273
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #0055
Street	1700 S CONGRESS AVE
City	PALM SPRINGS
State	FL
ZIP	33461
Phone	561 966-5114
CertificateType	4
CertificateEffectiveDate	12/12/2022
CertificateExpirationDate	12/11/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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