10D2109596 CLIA NUMBER - PUBLIX PHARMACY #1098

Laboratory Demographics

  • CLIA Code: 10D2109596
  • Facility Name: PUBLIX PHARMACY #1098
  • Facility Address: 5645 N ATLANTIC AVE
    COCOA BEACH, FL
    ZIP 32931
  • Facility Phone: 321 783-8304
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY BONE
  • NPI Number: 1588040604
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2109596
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1098
Street 5645 N ATLANTIC AVE
City COCOA BEACH
State FL
ZIP 32931
Phone 321 783-8304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Pharmacy
Lab Director KIMBERLY BONE

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