10D2193396 CLIA NUMBER - DELRAY SHORES PHARMACY INC

Laboratory Demographics

  • CLIA Code: 10D2193396
  • Facility Name: DELRAY SHORES PHARMACY INC
  • Facility Address: 124 NE 5TH AVENUE
    DELRAY BEACH, FL
    ZIP 33483
  • Facility Phone: 561 272-2121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS L. DILDINE
  • NPI Number: 1912086687
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2193396
LAB Type Physician Office
Facility Name DELRAY SHORES PHARMACY INC
Street 124 NE 5TH AVENUE
City DELRAY BEACH
State FL
ZIP 33483
Phone 561 272-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Physician Office
Lab Director THOMAS L. DILDINE

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