10D2089058 CLIA NUMBER - PUBLIX PHARMACY #0709

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Laboratory Demographics

CLIA Number: 10D2089058

Facility Name: PUBLIX PHARMACY #0709

Facility Address:
8330 MARKET ST
BRADENTON, FL
ZIP 34202
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Facility Phone Number: 941 907-2844

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1538108402

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	10D2089058
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #0709
Street	8330 MARKET ST
City	BRADENTON
State	FL
ZIP	34202
Phone	941 907-2844
CertificateType	4
CertificateEffectiveDate	12/18/2022
CertificateExpirationDate	12/17/2024
FacilityType	Waiver

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