10D2117261 CLIA NUMBER - PUBLIX PHARMACY #1351

Laboratory Demographics

  • CLIA Code: 10D2117261
  • Facility Name: PUBLIX PHARMACY #1351
  • Facility Address: 16400 USHWY 331 S
    FREEPORT, FL
    ZIP 32439
  • Facility Phone: 850 835-2317
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN MCRAE
  • NPI Number: 1356790729
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2117261
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1351
Street 16400 USHWY 331 S
City FREEPORT
State FL
ZIP 32439
Phone 850 835-2317
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Pharmacy
Lab Director RYAN MCRAE

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