10D2111505 CLIA NUMBER - PUBLIX PHARMACY #0252

Laboratory Demographics

  • CLIA Code: 10D2111505
  • Facility Name: PUBLIX PHARMACY #0252
  • Facility Address: 8842 W SR 84
    DAVIE, FL
    ZIP 33324
  • Facility Phone: 954 423-9460
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY BONE
  • NPI Number: 1225497027
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2111505
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #0252
Street 8842 W SR 84
City DAVIE
State FL
ZIP 33324
Phone 954 423-9460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Pharmacy
Lab Director KIMBERLY BONE

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