10D2318823 CLIA NUMBER - MEDICINE SHOPPE

Laboratory Demographics

  • CLIA Code: 10D2318823
  • Facility Name: MEDICINE SHOPPE
  • Facility Address: 4539 GRAND BLVD
    NEW PORT RICHEY, FL
    ZIP 34652
  • Facility Phone: 727 845-5550
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SETU SHAH
  • NPI Number: 1699944439
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2318823
LAB Type Pharmacy
Facility Name MEDICINE SHOPPE
Street 4539 GRAND BLVD
City NEW PORT RICHEY
State FL
ZIP 34652
Phone 727 845-5550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Pharmacy
Lab Director SETU SHAH

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