10D2088942 CLIA NUMBER - PUBLIX PHARMACY #1049

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Laboratory Demographics

CLIA Number: 10D2088942

Facility Name: PUBLIX PHARMACY #1049

Facility Address:
500 NORTH US HIGHWAY 1
TEQUESTA, FL
ZIP 33469
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Facility Phone Number: 561 741-8530

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1932149374

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	10D2088942
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1049
Street	500 NORTH US HIGHWAY 1
City	TEQUESTA
State	FL
ZIP	33469
Phone	561 741-8530
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