10D2145005 CLIA NUMBER - CAREMAX PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2145005
  • Facility Name: CAREMAX PHARMACY
  • Facility Address: 2789 PARK STREET
    JACKSONVILLE, FL
    ZIP 32205
  • Facility Phone: 904 551-9026
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANDI GHOBRIAL
  • NPI Number: 1548648363
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2145005
LAB Type Pharmacy
Facility Name CAREMAX PHARMACY
Street 2789 PARK STREET
City JACKSONVILLE
State FL
ZIP 32205
Phone 904 551-9026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Pharmacy
Lab Director SANDI GHOBRIAL

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