10D2089049 CLIA NUMBER - PUBLIX PHARMACY #0491

Laboratory Demographics

CLIA Number: 10D2089049

Facility Name: PUBLIX PHARMACY #0491

Facility Address:
7290 55TH AVE E
BRADENTON, FL
ZIP 34203
Get Directions

Facility Phone Number: 941 727-8412

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1174563555

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 10D2089049
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #0491
Street 7290 55TH AVE E
City BRADENTON
State FL
ZIP 34203
Phone 941 727-8412
CertificateType 4
CertificateEffectiveDate 12/18/2022
CertificateExpirationDate 12/17/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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