10D2205261 CLIA NUMBER - PRESCRIPTRX PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 10D2205261
  • Facility Name: PRESCRIPTRX PHARMACY LLC
  • Facility Address: 1523 E COMMERCIAL BLVD
    FORT LAUDERDALE, FL
    ZIP 33334
  • Facility Phone: 754 200-5913
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA QUINONEZ
  • NPI Number: 1578927166
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2205261
LAB Type Pharmacy
Facility Name PRESCRIPTRX PHARMACY LLC
Street 1523 E COMMERCIAL BLVD
City FORT LAUDERDALE
State FL
ZIP 33334
Phone 754 200-5913
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 LISA QUINONEZ

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