10D2190349 CLIA NUMBER - PSJ PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 10D2190349
  • Facility Name: PSJ PHARMACY LLC
  • Facility Address: 6801-1 US HWY 1 NORTH
    COCOA, FL
    ZIP 32927
  • Facility Phone: 321 637-0911
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAJESH A. PATEL
  • NPI Number: 1396184933
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2190349
LAB Type Pharmacy
Facility Name PSJ PHARMACY LLC
Street 6801-1 US HWY 1 NORTH
City COCOA
State FL
ZIP 32927
Phone 321 637-0911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Pharmacy
Lab Director RAJESH A. PATEL

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