10D2189564 CLIA NUMBER - PCA FLORIDA RX LLC DBA SYNCHRONY TAMPA PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2189564
  • Facility Name: PCA FLORIDA RX LLC DBA SYNCHRONY TAMPA PHARMACY
  • Facility Address: 4011 CRESCENT PARK DR
    RIVERVIEW, FL
    ZIP 33578
  • Facility Phone: (813) 499-9340
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD HOOD
  • NPI Number: 1164050761
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2189564
LAB Type Pharmacy
Facility Name PCA FLORIDA RX LLC DBA SYNCHRONY TAMPA PHARMACY
Street 4011 CRESCENT PARK DR
City RIVERVIEW
State FL
ZIP 33578
Phone 8134999340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Pharmacy
Lab Director RICHARD HOOD

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This page was last updated on: 5/18/2026