10D2112951 CLIA NUMBER - RELIANT PHARMACY LLC

Laboratory Demographics

CLIA Number: 10D2112951

Facility Name: RELIANT PHARMACY LLC

Facility Address:
10507 SPRING HILL
SPRING HILL, FL
ZIP 34608
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Facility Phone Number: 352 596-1044

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1134428824

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 10D2112951
LAB Type Pharmacy
Facility Name RELIANT PHARMACY LLC
Street 10507 SPRING HILL
City SPRING HILL
State FL
ZIP 34608
Phone 352 596-1044
CertificateType 4
CertificateEffectiveDate 5/12/2024
CertificateExpirationDate 5/11/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024