10D2205187 CLIA NUMBER - ELLENTON DISCOUNT PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 10D2205187
  • Facility Name: ELLENTON DISCOUNT PHARMACY LLC
  • Facility Address: 8324 US HWY 301 N
    PARRISH, FL
    ZIP 34219
  • Facility Phone: 941 444-2233
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KUNJAL PATEL
  • NPI Number: 1407214885
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2205187
LAB Type Pharmacy
Facility Name ELLENTON DISCOUNT PHARMACY LLC
Street 8324 US HWY 301 N
City PARRISH
State FL
ZIP 34219
Phone 941 444-2233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Pharmacy
Lab Director KUNJAL PATEL

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