10D2143199 CLIA NUMBER - PINELLAS PHARMACY LLC

Laboratory Demographics

CLIA Number: 10D2143199

Facility Name: PINELLAS PHARMACY LLC

Facility Address:
6280 66TH ST N
PINELLAS PARK, FL
ZIP 33781
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Facility Phone Number: 727 544-4203

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1912387374

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

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
CertificateType	4
CertificateEffectiveDate	1/25/2024
CertificateExpirationDate	1/24/2026
FacilityType	Waiver

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