10D2212191 CLIA NUMBER - BE WELL PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2212191
  • Facility Name: BE WELL PHARMACY
  • Facility Address: 5429 LITTLE ROAD
    NEW PORT RICHEY, FL
    ZIP 34655
  • Facility Phone: 727 372-5600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHADY BASTA
  • NPI Number: 1053834267
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2212191
LAB Type Pharmacy
Facility Name BE WELL PHARMACY
Street 5429 LITTLE ROAD
City NEW PORT RICHEY
State FL
ZIP 34655
Phone 727 372-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Pharmacy
Lab Director SHADY BASTA

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