10D2108527 CLIA NUMBER - KPB PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2108527
  • Facility Name: KPB PHARMACY
  • Facility Address: 19585 SR 7 UNIT N
    BOCA RATON, FL
    ZIP 33498
  • Facility Phone: 561 409-4287
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAI Y. SULBHA
  • NPI Number: 1134542020
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2108527
LAB Type Pharmacy
Facility Name KPB PHARMACY
Street 19585 SR 7 UNIT N
City BOCA RATON
State FL
ZIP 33498
Phone 561 409-4287
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Pharmacy
Lab Director PAI Y. SULBHA

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