10D2110894 CLIA NUMBER - PUBLIX PHARMACY #1297

Laboratory Demographics

  • CLIA Code: 10D2110894
  • Facility Name: PUBLIX PHARMACY #1297
  • Facility Address: 2501 E SUNRISE BLVD
    FORT LAUDERDALE, FL
    ZIP 33304
  • Facility Phone: 954 564-5442
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY BONE
  • NPI Number: 1164896296
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2110894
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1297
Street 2501 E SUNRISE BLVD
City FORT LAUDERDALE
State FL
ZIP 33304
Phone 954 564-5442
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Pharmacy
Lab Director KIMBERLY BONE

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