10D2116803 CLIA NUMBER - PUBLIX PHARMACY #1003

Laboratory Demographics

  • CLIA Code: 10D2116803
  • Facility Name: PUBLIX PHARMACY #1003
  • Facility Address: 12855 NE 6TH AVE
    NORTH MIAMI, FL
    ZIP 33161
  • Facility Phone: 305 891-7054
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIA GALVEZ
  • NPI Number: 1003261587
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2116803
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1003
Street 12855 NE 6TH AVE
City NORTH MIAMI
State FL
ZIP 33161
Phone 305 891-7054
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