10D2213711 CLIA NUMBER - CARELINE PHARMACY AND HEALTHCARE SERVICES LLC

Laboratory Demographics

CLIA Number: 10D2213711

Facility Name: CARELINE PHARMACY AND HEALTHCARE SERVICES LLC

Facility Address:
11200 E MARTIN LUTHER KING BLVD, SUITE 103
SEFFNER, FL
ZIP 33584
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Facility Phone Number: 813 333-0870

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1306333497

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	10D2213711
LAB Type	Pharmacy
Facility Name	CARELINE PHARMACY AND HEALTHCARE SERVICES LLC
Street	11200 E MARTIN LUTHER KING BLVD, SUITE 103
City	SEFFNER
State	FL
ZIP	33584
Phone	813 333-0870
CertificateType	4
CertificateEffectiveDate	2/16/2023
CertificateExpirationDate	2/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024