10D2103519 CLIA NUMBER - PUBLIX PHARMACY #1499

Laboratory Demographics

  • CLIA Code: 10D2103519
  • Facility Name: PUBLIX PHARMACY #1499
  • Facility Address: 24420 SR 44
    SORRENTO, FL
    ZIP 32776
  • Facility Phone: 352 357-2008
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AARON WOLFF
  • NPI Number: 1568831964
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2103519
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1499
Street 24420 SR 44
City SORRENTO
State FL
ZIP 32776
Phone 352 357-2008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2023
Certificate Expiration Date 10/13/2025
Facility Type Pharmacy
Lab Director AARON WOLFF

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025