10D2088702 CLIA NUMBER - PUBLIX PHARMACY #1329

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Laboratory Demographics

CLIA Number: 10D2088702

Facility Name: PUBLIX PHARMACY #1329

Facility Address:
1295 SOUTH MISSOURI AVE
CLEARWATER, FL
ZIP 33756
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Facility Phone Number: 727 442-7074

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1518102052

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	10D2088702
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1329
Street	1295 SOUTH MISSOURI AVE
City	CLEARWATER
State	FL
ZIP	33756
Phone	727 442-7074
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