10D2203936 CLIA NUMBER - PEBBLEBROOK PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2203936
  • Facility Name: PEBBLEBROOK PHARMACY
  • Facility Address: 15215 COLLIER BLVD SUITE 308
    NAPLES, FL
    ZIP 34119
  • Facility Phone: 239 353-0800
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SURESH CHAUDHARI
  • NPI Number: 1063856367
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2203936
LAB Type Pharmacy
Facility Name PEBBLEBROOK PHARMACY
Street 15215 COLLIER BLVD SUITE 308
City NAPLES
State FL
ZIP 34119
Phone 239 353-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Pharmacy
Lab Director SURESH CHAUDHARI

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