10D2249473 CLIA NUMBER - TITUSVILLE PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 10D2249473
  • Facility Name: TITUSVILLE PHARMACY LLC
  • Facility Address: 2175 CHENEY HWY STE B
    TITUSVILLE, FL
    ZIP 32780
  • Facility Phone: 321 268-0911
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAJESH PATEL
  • NPI Number: 1073800579
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2249473
LAB Type Pharmacy
Facility Name TITUSVILLE PHARMACY LLC
Street 2175 CHENEY HWY STE B
City TITUSVILLE
State FL
ZIP 32780
Phone 321 268-0911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Pharmacy
Lab Director RAJESH PATEL

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