10D2240469 CLIA NUMBER - NIMOH PHARMACY AND COMPOUNDING LLC

Laboratory Demographics

  • CLIA Code: 10D2240469
  • Facility Name: NIMOH PHARMACY AND COMPOUNDING LLC
  • Facility Address: 12878 US HIGHWAY 301
    DADE CITY, FL
    ZIP 33525
  • Facility Phone: 352 437-5985
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL MARCH
  • NPI Number: 1053729418
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2240469
LAB Type Pharmacy
Facility Name NIMOH PHARMACY AND COMPOUNDING LLC
Street 12878 US HIGHWAY 301
City DADE CITY
State FL
ZIP 33525
Phone 352 437-5985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 10/19/2025
Facility Type Pharmacy
Lab Director PAUL MARCH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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