10D2121416 CLIA NUMBER - ATLANTIS PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2121416
  • Facility Name: ATLANTIS PHARMACY
  • Facility Address: 100 JOHN F KENNEDY DR
    ATLANTIS, FL
    ZIP 33462
  • Facility Phone: 561 232-2893
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAMIEN SIMMONS
  • NPI Number: 1891104543
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2121416
LAB Type Pharmacy
Facility Name ATLANTIS PHARMACY
Street 100 JOHN F KENNEDY DR
City ATLANTIS
State FL
ZIP 33462
Phone 561 232-2893
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Pharmacy
Lab Director DAMIEN SIMMONS

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