10D2104533 CLIA NUMBER - PUBLIX PHARMACY #1491

Laboratory Demographics

  • CLIA Code: 10D2104533
  • Facility Name: PUBLIX PHARMACY #1491
  • Facility Address: 500 BELEVEDERE RD
    WEST PALM BEACH, FL
    ZIP 33405
  • Facility Phone: 561 659-2118
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JON PYBUS
  • NPI Number: 1164893327
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2104533
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1491
Street 500 BELEVEDERE RD
City WEST PALM BEACH
State FL
ZIP 33405
Phone 561 659-2118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Pharmacy
Lab Director JON PYBUS

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This page was last updated on: 9/29/2025