10D2250887 CLIA NUMBER - LUTZ PHARMACY DBA LUTZ PHARMACY

Laboratory Demographics

  • CLIA Code: 10D2250887
  • Facility Name: LUTZ PHARMACY DBA LUTZ PHARMACY
  • Facility Address: 1930 LAND O LAKES BLVD #15
    LUTZ, FL
    ZIP 33549
  • Facility Phone: 813 948-4500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAJNISH MEHTA
  • NPI Number: 1558691220
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2250887
LAB Type Pharmacy
Facility Name LUTZ PHARMACY DBA LUTZ PHARMACY
Street 1930 LAND O LAKES BLVD #15
City LUTZ
State FL
ZIP 33549
Phone 813 948-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Pharmacy
Lab Director RAJNISH MEHTA

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