10D2214556 CLIA NUMBER - MEDSTOP LLC

Laboratory Demographics

CLIA Number: 10D2214556

Facility Name: MEDSTOP LLC

Facility Address:
2095 W FAIRBANKS AVE
WINTER PARK, FL
ZIP 32789
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Facility Phone Number: 407 280-6040

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1639709454

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2214556
LAB Type	Pharmacy
Facility Name	MEDSTOP LLC
Street	2095 W FAIRBANKS AVE
City	WINTER PARK
State	FL
ZIP	32789
Phone	407 280-6040
CertificateType	4
CertificateEffectiveDate	2/23/2023
CertificateExpirationDate	2/22/2025
FacilityType	Waiver

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