10D2088970 CLIA NUMBER - PUBLIX PHARMACY #0031

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Laboratory Demographics

CLIA Number: 10D2088970

Facility Name: PUBLIX PHARMACY #0031

Facility Address:
9755 NW 41ST STREET
DORAL, FL
ZIP 33178
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Facility Phone Number: 305 597-8291

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1588608210

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	10D2088970
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #0031
Street	9755 NW 41ST STREET
City	DORAL
State	FL
ZIP	33178
Phone	305 597-8291
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