10D2262690 CLIA NUMBER - MEDWAY RX LLC

Laboratory Demographics

CLIA Number: 10D2262690

Facility Name: MEDWAY RX LLC

Facility Address:
3010 E 138TH AVE, STE 102
TAMPA, FL
ZIP 33613
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Facility Phone Number: 813 825-0100

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1235709734

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	10D2262690
LAB Type	Pharmacy
Facility Name	MEDWAY RX LLC
Street	3010 E 138TH AVE, STE 102
City	TAMPA
State	FL
ZIP	33613
Phone	813 825-0100
CertificateType	4
CertificateEffectiveDate	6/16/2022
CertificateExpirationDate	6/15/2024
FacilityType	Waiver

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