10D2208066 CLIA NUMBER - SUNLIFE PHARMACY

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Laboratory Demographics

CLIA Number: 10D2208066

Facility Name: SUNLIFE PHARMACY

Facility Address:
3420 TAMPA ROAD
PALM HARBOR, FL
ZIP 34684
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Facility Phone Number: 727 491-8300

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1861931156

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	10D2208066
LAB Type	Pharmacy
Facility Name	SUNLIFE PHARMACY
Street	3420 TAMPA ROAD
City	PALM HARBOR
State	FL
ZIP	34684
Phone	727 491-8300
CertificateType	4
CertificateEffectiveDate	1/4/2023
CertificateExpirationDate	1/3/2025
FacilityType	Waiver

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