10D2116801 CLIA NUMBER - PUBLIX PHARMACY #1389

Laboratory Demographics

  • CLIA Code: 10D2116801
  • Facility Name: PUBLIX PHARMACY #1389
  • Facility Address: 11750 SW 104TH ST
    MIAMI, FL
    ZIP 33176
  • Facility Phone: 305 274-1286
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIA GALVEZ
  • NPI Number: 1215392907
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2116801
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1389
Street 11750 SW 104TH ST
City MIAMI
State FL
ZIP 33176
Phone 305 274-1286
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Pharmacy
Lab Director MARIA GALVEZ

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