10D2138178 CLIA NUMBER - CLINICAL CARE MEDICAL CENTERS

Laboratory Demographics

CLIA Number: 10D2138178

Facility Name: CLINICAL CARE MEDICAL CENTERS

Facility Address:
205 1ST STREET SOUTH SUITE 8
WINTER HAVEN, FL
ZIP 33880
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Facility Phone Number: (305) 534-0076

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1275835019

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	10D2138178
LAB Type	PHYSICIAN OFFICE
Facility Name	CLINICAL CARE MEDICAL CENTERS
Street	205 1ST STREET SOUTH SUITE 8
City	WINTER HAVEN
State	FL
ZIP	33880
Phone	(305) 534-0076

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This page was last updated on: 5/11/2023