10D2195394 CLIA NUMBER - PARTNERS PHARMACY OF FLORIDA LLC

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Laboratory Demographics

CLIA Number: 10D2195394

Facility Name: PARTNERS PHARMACY OF FLORIDA LLC

Facility Address:
45 SKYLINE DR STE 1011
LAKE MARY, FL
ZIP 32746
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Facility Phone Number: 407 805-8300

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1396917381

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	10D2195394
LAB Type	Pharmacy
Facility Name	PARTNERS PHARMACY OF FLORIDA LLC
Street	45 SKYLINE DR STE 1011
City	LAKE MARY
State	FL
ZIP	32746
Phone	407 805-8300
CertificateType	4
CertificateEffectiveDate	10/8/2022
CertificateExpirationDate	10/7/2024
FacilityType	Waiver

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