10D2088716 CLIA NUMBER - PUBLIX PHARMACY #0070

Home > CLIA Lookup > 10D2088716

Laboratory Demographics

CLIA Number: 10D2088716

Facility Name: PUBLIX PHARMACY #0070

Facility Address:
3400 N FEDERAL HWY
FORT LAUDERDALE, FL
ZIP 33306
Get Directions

Facility Phone Number: 954 561-8771

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1700825643

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	10D2088716
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #0070
Street	3400 N FEDERAL HWY
City	FORT LAUDERDALE
State	FL
ZIP	33306
Phone	954 561-8771
CertificateType	4
CertificateEffectiveDate	12/17/2022
CertificateExpirationDate	12/16/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024