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10D2088518 CLIA NUMBER - PUBLIX PHARMACY #1264

Laboratory Demographics

CLIA Number: 10D2088518

Facility Name: PUBLIX PHARMACY #1264

Facility Address:
3251 EAST 2ND AVE
HIALEAH, FL
ZIP 33013
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Facility Phone Number: 305 888-3364

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1316225139

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 10D2088518
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1264
Street 3251 EAST 2ND AVE
City HIALEAH
State FL
ZIP 33013
Phone 305 888-3364
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