10D2088817 CLIA NUMBER - PUBLIX PHARMACY #1444

Home > CLIA Lookup > 10D2088817

Laboratory Demographics

CLIA Number: 10D2088817

Facility Name: PUBLIX PHARMACY #1444

Facility Address:
299 E INTL SPWDWY BLVD
DELAND, FL
ZIP 32724
Get Directions

Facility Phone Number: 386 738-3619

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1730129693

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	10D2088817
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1444
Street	299 E INTL SPWDWY BLVD
City	DELAND
State	FL
ZIP	32724
Phone	386 738-3619
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