10D2092310 CLIA NUMBER - PUBLIX PHARMACY #1452

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Laboratory Demographics

CLIA Number: 10D2092310

Facility Name: PUBLIX PHARMACY #1452

Facility Address:
133 N CONGRESS AVE
BOYNTON BEACH, FL
ZIP 33426
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Facility Phone Number: 561 364-3712

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1992196737

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	10D2092310
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1452
Street	133 N CONGRESS AVE
City	BOYNTON BEACH
State	FL
ZIP	33426
Phone	561 364-3712
CertificateType	4
CertificateEffectiveDate	3/3/2023
CertificateExpirationDate	3/2/2025
FacilityType	Waiver

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