10D2088883 CLIA NUMBER - PUBLIX PHARMACY #0850

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Laboratory Demographics

CLIA Number: 10D2088883

Facility Name: PUBLIX PHARMACY #0850

Facility Address:
601 S ANDREWS AVE
FORT LAUDERDALE, FL
ZIP 33301
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Facility Phone Number: 954 728-9205

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1588604961

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	10D2088883
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #0850
Street	601 S ANDREWS AVE
City	FORT LAUDERDALE
State	FL
ZIP	33301
Phone	954 728-9205
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