10D2191749 CLIA NUMBER - RUDHRA LLC DBA UNIVERSITY PHARMACY

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Laboratory Demographics

CLIA Number: 10D2191749

Facility Name: RUDHRA LLC DBA UNIVERSITY PHARMACY

Facility Address:
8451 SHADE AVE - STE 108
SARASOTA, FL
ZIP 34243
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Facility Phone Number: 941 355-2500

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1487956421

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2191749
LAB Type	Pharmacy
Facility Name	RUDHRA LLC DBA UNIVERSITY PHARMACY
Street	8451 SHADE AVE - STE 108
City	SARASOTA
State	FL
ZIP	34243
Phone	941 355-2500
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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