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10D2128259 CLIA NUMBER - PUBLIX PHARMACY #1560

Laboratory Demographics

CLIA Number: 10D2128259

Facility Name: PUBLIX PHARMACY #1560

Facility Address:
203 NW 13TH ST
GAINESVILLE, FL
ZIP 32601
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Facility Phone Number: 352 247-2153

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1225580921

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 10D2128259
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1560
Street 203 NW 13TH ST
City GAINESVILLE
State FL
ZIP 32601
Phone 352 247-2153
CertificateType 4
CertificateEffectiveDate 3/28/2023
CertificateExpirationDate 3/27/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024