10D2088324 CLIA NUMBER - PUBLIX PHARMACY #0032

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Laboratory Demographics

CLIA Number: 10D2088324

Facility Name: PUBLIX PHARMACY #0032

Facility Address:
4370 THOMASSON DR
NAPLES, FL
ZIP 34112
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Facility Phone Number: 000 239-7741

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1184663148

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	10D2088324
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #0032
Street	4370 THOMASSON DR
City	NAPLES
State	FL
ZIP	34112
Phone	000 239-7741
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