10D2190038 CLIA NUMBER - I V STAT INC

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Laboratory Demographics

CLIA Number: 10D2190038

Facility Name: I V STAT INC

Facility Address:
533 EGLIN PARKWAY NE
FORT WALTON BEACH, FL
ZIP 32547
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Facility Phone Number: 850 226-8162

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1730632787

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	10D2190038
LAB Type	Pharmacy
Facility Name	I V STAT INC
Street	533 EGLIN PARKWAY NE
City	FORT WALTON BEACH
State	FL
ZIP	32547
Phone	850 226-8162
CertificateType	4
CertificateEffectiveDate	8/9/2022
CertificateExpirationDate	8/8/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024