10D2143276 CLIA NUMBER - VILLAGES RX PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 10D2143276
  • Facility Name: VILLAGES RX PHARMACY LLC
  • Facility Address: 13733 N US HWY 441
    LADY LAKE, FL
    ZIP 32159
  • Facility Phone: 352 391-5533
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAGRUT VYAS
  • NPI Number: 1336468511
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2143276
LAB Type Pharmacy
Facility Name VILLAGES RX PHARMACY LLC
Street 13733 N US HWY 441
City LADY LAKE
State FL
ZIP 32159
Phone 352 391-5533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Pharmacy
Lab Director JAGRUT VYAS

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