10D2194102 CLIA NUMBER - SUPER DISCOUNT PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 10D2194102
  • Facility Name: SUPER DISCOUNT PHARMACY LLC
  • Facility Address: 1423 S COLLINS ST
    PLANT CITY, FL
    ZIP 33563
  • Facility Phone: 813 752-1133
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANJIT MATHARU
  • NPI Number: 1407041817
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2194102
LAB Type Pharmacy
Facility Name SUPER DISCOUNT PHARMACY LLC
Street 1423 S COLLINS ST
City PLANT CITY
State FL
ZIP 33563
Phone 813 752-1133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Pharmacy
Lab Director MANJIT MATHARU

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