10D2208744 CLIA NUMBER - PRAMUKH KRUPA RX LLC DBA SUMMERGATE PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2208744
  • Facility Name: PRAMUKH KRUPA RX LLC DBA SUMMERGATE PHARMACY
  • Facility Address: 27432 CASHFORD CIR STE 101
    WESLEY CHAPEL, FL
    ZIP 33544
  • Facility Phone: 813 667-6100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANANKUMAR PATEL
  • NPI Number: 1669728176
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2208744
LAB Type Pharmacy
Facility Name PRAMUKH KRUPA RX LLC DBA SUMMERGATE PHARMACY
Street 27432 CASHFORD CIR STE 101
City WESLEY CHAPEL
State FL
ZIP 33544
Phone 813 667-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Pharmacy
Lab Director MANANKUMAR PATEL

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