10D2088651 CLIA NUMBER - PUBLIX PHARMACY #0353

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Laboratory Demographics

CLIA Number: 10D2088651

Facility Name: PUBLIX PHARMACY #0353

Facility Address:
1491 MAIN ST
DUNEDIN, FL
ZIP 34698
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Facility Phone Number: 727 736-2785

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1851330625

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	10D2088651
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #0353
Street	1491 MAIN ST
City	DUNEDIN
State	FL
ZIP	34698
Phone	727 736-2785
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