10D2183090 CLIA NUMBER - AVENUE PHARMACY INC DBA PATHWAY PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2183090
  • Facility Name: AVENUE PHARMACY INC DBA PATHWAY PHARMACY
  • Facility Address: 202 SW 17TH ST - STE A
    OCALA, FL
    ZIP 34471
  • Facility Phone: 352 624-2779
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA DILEO
  • NPI Number: 1205177607
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2183090
LAB Type Pharmacy
Facility Name AVENUE PHARMACY INC DBA PATHWAY PHARMACY
Street 202 SW 17TH ST - STE A
City OCALA
State FL
ZIP 34471
Phone 352 624-2779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Pharmacy
Lab Director JESSICA DILEO

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