10D2248342 CLIA NUMBER - ECKERDS RX 108 LLC

Laboratory Demographics

  • CLIA Code: 10D2248342
  • Facility Name: ECKERDS RX 108 LLC
  • Facility Address: 14614 LIVINGSTON AVE
    LUTZ, FL
    ZIP 33559
  • Facility Phone: 813 499-9266
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVAL N. PATEL
  • NPI Number: 1336759505
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2248342
LAB Type Pharmacy
Facility Name ECKERDS RX 108 LLC
Street 14614 LIVINGSTON AVE
City LUTZ
State FL
ZIP 33559
Phone 813 499-9266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Pharmacy
Lab Director KEVAL N. PATEL

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