10D2088858 CLIA NUMBER - PUBLIX PHARMACY #0481

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Laboratory Demographics

CLIA Number: 10D2088858

Facility Name: PUBLIX PHARMACY #0481

Facility Address:
650 W 23RD ST
PANAMA CITY, FL
ZIP 32405
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Facility Phone Number: 850 747-9786

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1265472641

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	10D2088858
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #0481
Street	650 W 23RD ST
City	PANAMA CITY
State	FL
ZIP	32405
Phone	850 747-9786
CertificateType	4
CertificateEffectiveDate	12/17/2022
CertificateExpirationDate	12/16/2024
FacilityType	Waiver

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