10D2088472 CLIA NUMBER - PUBLIX PHARMACY #0343

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Laboratory Demographics

CLIA Number: 10D2088472

Facility Name: PUBLIX PHARMACY #0343

Facility Address:
2414 W 60TH ST
HIALEAH, FL
ZIP 33016
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Facility Phone Number: 305 557-3315

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1508806985

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	10D2088472
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #0343
Street	2414 W 60TH ST
City	HIALEAH
State	FL
ZIP	33016
Phone	305 557-3315
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