10D2088965 CLIA NUMBER - PUBLIX PHARMACY #0630

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Laboratory Demographics

CLIA Number: 10D2088965

Facility Name: PUBLIX PHARMACY #0630

Facility Address:
14371 SPRING HILL DR
SPRING HILL, FL
ZIP 34609
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Facility Phone Number: 352 666-2006

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1992746499

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	10D2088965
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #0630
Street	14371 SPRING HILL DR
City	SPRING HILL
State	FL
ZIP	34609
Phone	352 666-2006
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