10D2198974 CLIA NUMBER - CROSSTOWN PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2198974
  • Facility Name: CROSSTOWN PHARMACY
  • Facility Address: 8701 S US HWY 1
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 772 301-1095
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LYDELL B. MORRISON
  • NPI Number: 1508356536
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2198974
LAB Type Pharmacy
Facility Name CROSSTOWN PHARMACY
Street 8701 S US HWY 1
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 772 301-1095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Pharmacy
Lab Director LYDELL B. MORRISON

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