10D2140824 CLIA NUMBER - PUBLIX PHARMACY #1537

Laboratory Demographics

  • CLIA Code: 10D2140824
  • Facility Name: PUBLIX PHARMACY #1537
  • Facility Address: 1430 TIGER PARK LANE
    GULF BREEZE, FL
    ZIP 32563
  • Facility Phone: 850 429-1026
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY BONE
  • NPI Number: 1902318231
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2140824
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1537
Street 1430 TIGER PARK LANE
City GULF BREEZE
State FL
ZIP 32563
Phone 850 429-1026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Pharmacy
Lab Director KIMBERLY BONE

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