10D2088441 CLIA NUMBER - PUBLIX PHARMACY #0826

Home > CLIA Lookup > 10D2088441

Laboratory Demographics

CLIA Number: 10D2088441

Facility Name: PUBLIX PHARMACY #0826

Facility Address:
1631 DEL PRADO BLVD S
CAPE CORAL, FL
ZIP 33990
Get Directions

Facility Phone Number: 239 574-9183

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1043250426

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	10D2088441
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #0826
Street	1631 DEL PRADO BLVD S
City	CAPE CORAL
State	FL
ZIP	33990
Phone	239 574-9183
CertificateType	4
CertificateEffectiveDate	12/15/2022
CertificateExpirationDate	12/14/2024
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