10D2104534 CLIA NUMBER - PUBLIX PHARMACY #3214

Laboratory Demographics

  • CLIA Code: 10D2104534
  • Facility Name: PUBLIX PHARMACY #3214
  • Facility Address: 10920 N MCKINLEY DR STE 11
    TAMPA, FL
    ZIP 33615
  • Facility Phone: 813 978-1694
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TANISHA WHITE
  • NPI Number: 1821325937
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2104534
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #3214
Street 10920 N MCKINLEY DR STE 11
City TAMPA
State FL
ZIP 33615
Phone 813 978-1694
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 TANISHA WHITE

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