10D2319902 CLIA NUMBER - VITAL PHARM RX, INC

Laboratory Demographics

  • CLIA Code: 10D2319902
  • Facility Name: VITAL PHARM RX, INC
  • Facility Address: 1616 W 68 STREET
    HIALEAH, FL
    ZIP 33014
  • Facility Phone: 305 967-8584
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEANETTE BAEZ MARGARITA
  • NPI Number: 1093544124
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2319902
LAB Type Pharmacy
Facility Name VITAL PHARM RX, INC
Street 1616 W 68 STREET
City HIALEAH
State FL
ZIP 33014
Phone 305 967-8584
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Pharmacy
Lab Director JEANETTE BAEZ MARGARITA

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