10D2209735 CLIA NUMBER - RICHEY MEDICAL PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2209735
  • Facility Name: RICHEY MEDICAL PHARMACY
  • Facility Address: 5346 GRAND BLVD
    NEW PORT RICHEY, FL
    ZIP 34652
  • Facility Phone: 727 807-5344
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANDRA MARCOS
  • NPI Number: 1245877406
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2209735
LAB Type Pharmacy
Facility Name RICHEY MEDICAL PHARMACY
Street 5346 GRAND BLVD
City NEW PORT RICHEY
State FL
ZIP 34652
Phone 727 807-5344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Pharmacy
Lab Director SANDRA MARCOS

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