10D2208117 CLIA NUMBER - PHYTOGENICS SPECIALTY PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2208117
  • Facility Name: PHYTOGENICS SPECIALTY PHARMACY
  • Facility Address: 4501 NW 31ST AVE
    OAKLAND PARK, FL
    ZIP 33309
  • Facility Phone: 754 223-7701
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOELLE DESIR MOLIERE
  • NPI Number: 1356508980
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2208117
LAB Type Pharmacy
Facility Name PHYTOGENICS SPECIALTY PHARMACY
Street 4501 NW 31ST AVE
City OAKLAND PARK
State FL
ZIP 33309
Phone 754 223-7701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Pharmacy
Lab Director JOELLE DESIR MOLIERE

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