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10D2102472 CLIA NUMBER - PUBLIX PHARMACY #1505

Laboratory Demographics

CLIA Number: 10D2102472

Facility Name: PUBLIX PHARMACY #1505

Facility Address:
16193 NW HWY 441
ALACHUA, FL
ZIP 32615
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Facility Phone Number: 386 418-3435

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1811365844

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 10D2102472
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1505
Street 16193 NW HWY 441
City ALACHUA
State FL
ZIP 32615
Phone 386 418-3435
CertificateType 4
CertificateEffectiveDate 9/24/2023
CertificateExpirationDate 9/23/2025
FacilityType Waiver

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