10D2088511 CLIA NUMBER - PUBLIX PHARMACY #0837

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Laboratory Demographics

CLIA Number: 10D2088511

Facility Name: PUBLIX PHARMACY #0837

Facility Address:
6525 NOVA DR
DAVIE, FL
ZIP 33317
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Facility Phone Number: 954 474-9027

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1902146731

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	10D2088511
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #0837
Street	6525 NOVA DR
City	DAVIE
State	FL
ZIP	33317
Phone	954 474-9027
CertificateType	4
CertificateEffectiveDate	12/16/2022
CertificateExpirationDate	12/15/2024
FacilityType	Waiver

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