10D2088527 CLIA NUMBER - PUBLIX PHARMACY #1386

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Laboratory Demographics

CLIA Number: 10D2088527

Facility Name: PUBLIX PHARMACY #1386

Facility Address:
1290 WEST 68TH ST
HIALEAH, FL
ZIP 33014
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Facility Phone Number: 305 820-8870

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1689937005

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	10D2088527
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1386
Street	1290 WEST 68TH ST
City	HIALEAH
State	FL
ZIP	33014
Phone	305 820-8870
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