10D2188498 CLIA NUMBER - SOUTHCARE PHARMACY INC

Laboratory Demographics

  • CLIA Code: 10D2188498
  • Facility Name: SOUTHCARE PHARMACY INC
  • Facility Address: 6499 38TH AVE N
    SAINT PETERSBURG, FL
    ZIP 33710
  • Facility Phone: 727 344-3902
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. LAMB
  • NPI Number: 1336574375
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2188498
LAB Type Pharmacy
Facility Name SOUTHCARE PHARMACY INC
Street 6499 38TH AVE N
City SAINT PETERSBURG
State FL
ZIP 33710
Phone 727 344-3902
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Pharmacy
Lab Director JENNIFER L. LAMB

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