10D2135359 CLIA NUMBER - CITIZEN PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2135359
  • Facility Name: CITIZEN PHARMACY
  • Facility Address: 1545 UNIVERSITY BLVD, N
    JACKSONVILLE, FL
    ZIP 32211
  • Facility Phone: 904 619-3776
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMMARI YAZAN
  • NPI Number: 1184003311
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2135359
LAB Type Pharmacy
Facility Name CITIZEN PHARMACY
Street 1545 UNIVERSITY BLVD, N
City JACKSONVILLE
State FL
ZIP 32211
Phone 904 619-3776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Pharmacy
Lab Director AMMARI YAZAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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