10D2088693 CLIA NUMBER - PUBLIX PHARMACY #1160

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Laboratory Demographics

CLIA Number: 10D2088693

Facility Name: PUBLIX PHARMACY #1160

Facility Address:
525 SOUTH BELCHER BLVD
CLEARWATER, FL
ZIP 33764
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Facility Phone Number: 727 791-0169

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1548454812

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	10D2088693
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1160
Street	525 SOUTH BELCHER BLVD
City	CLEARWATER
State	FL
ZIP	33764
Phone	727 791-0169
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