10D2210234 CLIA NUMBER - NORTH FLORIDA PHARMACY INC

Laboratory Demographics

  • CLIA Code: 10D2210234
  • Facility Name: NORTH FLORIDA PHARMACY INC
  • Facility Address: 347 SW MAIN BLVD SUITE 102
    LAKE CITY, FL
    ZIP 32025
  • Facility Phone: 386 758-6770
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOEL E. ROSENFIELD
  • NPI Number: 1790795581
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2210234
LAB Type Pharmacy
Facility Name NORTH FLORIDA PHARMACY INC
Street 347 SW MAIN BLVD SUITE 102
City LAKE CITY
State FL
ZIP 32025
Phone 386 758-6770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Pharmacy
Lab Director JOEL E. ROSENFIELD

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