10D2088433 CLIA NUMBER - PUBLIX PHARMACY #1371

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Laboratory Demographics

CLIA Number: 10D2088433

Facility Name: PUBLIX PHARMACY #1371

Facility Address:
3863 SOUTH US HIGHWAY 301
RIVERVIEW, FL
ZIP 33578
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Facility Phone Number: 813 626-1085

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1932485786

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	10D2088433
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1371
Street	3863 SOUTH US HIGHWAY 301
City	RIVERVIEW
State	FL
ZIP	33578
Phone	813 626-1085
CertificateType	4
CertificateEffectiveDate	12/15/2022
CertificateExpirationDate	12/14/2024
FacilityType	Waiver

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