10D2112760 CLIA NUMBER - PUBLIX PHARMACY #0777

Laboratory Demographics

  • CLIA Code: 10D2112760
  • Facility Name: PUBLIX PHARMACY #0777
  • Facility Address: 9300 W COMMERCIAL BLVD
    SUNRISE, FL
    ZIP 33351
  • Facility Phone: 954 748-9711
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY BONE
  • NPI Number: 1063867372
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2112760
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #0777
Street 9300 W COMMERCIAL BLVD
City SUNRISE
State FL
ZIP 33351
Phone 954 748-9711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Pharmacy
Lab Director KIMBERLY BONE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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