10D2174605 CLIA NUMBER - PHARMCO RX

Laboratory Demographics

  • CLIA Code: 10D2174605
  • Facility Name: PHARMCO RX
  • Facility Address: 400 ANSIN BLVD SUITE A
    HALLANDALE, FL
    ZIP 33009
  • Facility Phone: 305 919-7399
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAMELA M. ROBERTS
  • NPI Number: 1013026913
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2174605
LAB Type Pharmacy
Facility Name PHARMCO RX
Street 400 ANSIN BLVD SUITE A
City HALLANDALE
State FL
ZIP 33009
Phone 305 919-7399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Pharmacy
Lab Director PAMELA M. ROBERTS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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