10D2143199 CLIA NUMBER - PINELLAS PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 10D2143199
  • Facility Name: PINELLAS PHARMACY LLC
  • Facility Address: 6280 66TH ST N
    PINELLAS PARK, FL
    ZIP 33781
  • Facility Phone: 727 544-4203
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN SHUKLA
  • NPI Number: 1912387374
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 10D2143199
LAB Type Pharmacy
Facility Name PINELLAS PHARMACY LLC
Street 6280 66TH ST N
City PINELLAS PARK
State FL
ZIP 33781
Phone 727 544-4203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Pharmacy
Lab Director KEVIN SHUKLA

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