10D2112951 CLIA NUMBER - RELIANT PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 10D2112951
  • Facility Name: RELIANT PHARMACY LLC
  • Facility Address: 10507 SPRING HILL
    SPRING HILL, FL
    ZIP 34608
  • Facility Phone: 352 596-1044
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GAUTAM THAKKAR
  • NPI Number: 1134428824
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Pharmacy
Lab Director GAUTAM THAKKAR

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