10D2146761 CLIA NUMBER - COMBINED RESEARCH CORP

Laboratory Demographics

CLIA Number: 10D2146761

Facility Name: COMBINED RESEARCH CORP

Facility Address:
4410 W 16 AVE STE 61
HIALEAH, FL
ZIP 33012
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Facility Phone Number: 305 280-0512

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1023101466

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	10D2146761
LAB Type	Physician Office
Facility Name	COMBINED RESEARCH CORP
Street	4410 W 16 AVE STE 61
City	HIALEAH
State	FL
ZIP	33012
Phone	305 280-0512
CertificateType	4
CertificateEffectiveDate	4/5/2024
CertificateExpirationDate	4/4/2026
FacilityType	Waiver

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