10D2213068 CLIA NUMBER - FAMILY PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 10D2213068
  • Facility Name: FAMILY PHARMACY LLC
  • Facility Address: 1436 STATE ROAD 436 SUITE 1008
    CASSELBERRY, FL
    ZIP 32707
  • Facility Phone: 407 853-4010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MILLAD AYYAD
  • NPI Number: 1881249548
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2213068
LAB Type Pharmacy
Facility Name FAMILY PHARMACY LLC
Street 1436 STATE ROAD 436 SUITE 1008
City CASSELBERRY
State FL
ZIP 32707
Phone 407 853-4010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Pharmacy
Lab Director MILLAD AYYAD

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