10D2245158 CLIA NUMBER - BAY LIFE PHARMACY II

Laboratory Demographics

CLIA Number: 10D2245158

Facility Name: BAY LIFE PHARMACY II

Facility Address:
5665 PARK ST NORTH
SAINT PETERSBURG, FL
ZIP 33709
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Facility Phone Number: 727 216-6374

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1205115656

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	10D2245158
LAB Type	Pharmacy
Facility Name	BAY LIFE PHARMACY II
Street	5665 PARK ST NORTH
City	SAINT PETERSBURG
State	FL
ZIP	33709
Phone	727 216-6374
CertificateType	4
CertificateEffectiveDate	12/9/2023
CertificateExpirationDate	12/8/2025
FacilityType	Waiver

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