10D2313007 CLIA NUMBER - LAKEN PHARMACY LLC DBA AMERICAS PHARMACY IV

Laboratory Demographics

  • CLIA Code: 10D2313007
  • Facility Name: LAKEN PHARMACY LLC DBA AMERICAS PHARMACY IV
  • Facility Address: 4560 TAMIAMI TRL 5
    PORT CHARLOTTE, FL
    ZIP 33980
  • Facility Phone: 941 353-2010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENNEN MUNOZ MUNOZ
  • NPI Number: 1003661356
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2313007
LAB Type Pharmacy
Facility Name LAKEN PHARMACY LLC DBA AMERICAS PHARMACY IV
Street 4560 TAMIAMI TRL 5
City PORT CHARLOTTE
State FL
ZIP 33980
Phone 941 353-2010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Pharmacy
Lab Director KENNEN MUNOZ MUNOZ

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