10D2201915 CLIA NUMBER - GUARDIAN PHARMACY OF SOUTHEAST FLORIDA

Laboratory Demographics

CLIA Number: 10D2201915

Facility Name: GUARDIAN PHARMACY OF SOUTHEAST FLORIDA

Facility Address:
6100 BROKEN SOUND PKWY NW STE 1
BOCA RATON, FL
ZIP 33487
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Facility Phone Number: 954 601-2121

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1871677518

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 10D2201915
LAB Type Pharmacy
Facility Name GUARDIAN PHARMACY OF SOUTHEAST FLORIDA
Street 6100 BROKEN SOUND PKWY NW STE 1
City BOCA RATON
State FL
ZIP 33487
Phone 954 601-2121
CertificateType 4
CertificateEffectiveDate 11/24/2022
CertificateExpirationDate 11/23/2024
FacilityType Waiver

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