10D2213580 CLIA NUMBER - PHARMEDICO PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2213580
  • Facility Name: PHARMEDICO PHARMACY
  • Facility Address: 6206 N LOCKWOOD RIDGE RD
    SARASOTA, FL
    ZIP 34243
  • Facility Phone: 941 952-3959
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAT M. NGUYEN
  • NPI Number: 1396363750
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2213580
LAB Type Pharmacy
Facility Name PHARMEDICO PHARMACY
Street 6206 N LOCKWOOD RIDGE RD
City SARASOTA
State FL
ZIP 34243
Phone 941 952-3959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Pharmacy
Lab Director DAT M. NGUYEN

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