10D2197820 CLIA NUMBER - WISE'S DRUG STORE INC.OF GAINESVILLE, FLA

Laboratory Demographics

  • CLIA Code: 10D2197820
  • Facility Name: WISE'S DRUG STORE INC.OF GAINESVILLE, FLA
  • Facility Address: 708 SW 4TH AVENUE
    GAINESVILLE, FL
    ZIP 32601
  • Facility Phone: 352 376-8286
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENNETH E. WISE
  • NPI Number: 1942340864
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2197820
LAB Type Pharmacy
Facility Name WISE'S DRUG STORE INC.OF GAINESVILLE, FLA
Street 708 SW 4TH AVENUE
City GAINESVILLE
State FL
ZIP 32601
Phone 352 376-8286
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Pharmacy
Lab Director KENNETH E. WISE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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