10D2161769 CLIA NUMBER - PRESCRIPTION SHOP OF STUART

Laboratory Demographics

  • CLIA Code: 10D2161769
  • Facility Name: PRESCRIPTION SHOP OF STUART
  • Facility Address: 622 COLORADO AVENUE
    STUART, FL
    ZIP 34994
  • Facility Phone: 772 287-3443
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM I. JONES
  • NPI Number: 1326477605
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 10D2161769
LAB Type Pharmacy
Facility Name PRESCRIPTION SHOP OF STUART
Street 622 COLORADO AVENUE
City STUART
State FL
ZIP 34994
Phone 772 287-3443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Pharmacy
Lab Director KIM I. JONES

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