10D2088330 CLIA NUMBER - PUBLIX PHARMACY #0157

Laboratory Demographics

CLIA Number: 10D2088330

Facility Name: PUBLIX PHARMACY #0157

Facility Address:
19100 S TAMIAMI TRAIL
FORT MYERS, FL
ZIP 33908
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Facility Phone Number: (000) 239-4322

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1568403053

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 10D2088330
LAB Type PHARMACY
Facility Name PUBLIX PHARMACY #0157
Street 19100 S TAMIAMI TRAIL
City FORT MYERS
State FL
ZIP 33908
Phone (000) 239-4322

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This page was last updated on: 5/11/2023