10D2202008 CLIA NUMBER - ECKERDS PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 10D2202008
  • Facility Name: ECKERDS PHARMACY LLC
  • Facility Address: 2902 59TH ST W STE R
    BRADENTON, FL
    ZIP 34209
  • Facility Phone: 941 900-4410
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VIKRAM B. RAO
  • NPI Number: 1578198560
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2202008
LAB Type Pharmacy
Facility Name ECKERDS PHARMACY LLC
Street 2902 59TH ST W STE R
City BRADENTON
State FL
ZIP 34209
Phone 941 900-4410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Pharmacy
Lab Director VIKRAM B. RAO

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