10D2194914 CLIA NUMBER - SOWAL HEALTH & DRUG

Laboratory Demographics

  • CLIA Code: 10D2194914
  • Facility Name: SOWAL HEALTH & DRUG
  • Facility Address: 9375 EMERALD COAST PKWY #27B
    MIRAMAR BEACH, FL
    ZIP 32550
  • Facility Phone: 850 424-7438
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN J. PETRUCCI
  • NPI Number: 1679053136
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2194914
LAB Type Pharmacy
Facility Name SOWAL HEALTH & DRUG
Street 9375 EMERALD COAST PKWY #27B
City MIRAMAR BEACH
State FL
ZIP 32550
Phone 850 424-7438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Pharmacy
Lab Director BRIAN J. PETRUCCI

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