11D2095563 CLIA NUMBER - PUBLIX PHARMACY #0026

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Laboratory Demographics

CLIA Number: 11D2095563

Facility Name: PUBLIX PHARMACY #0026

Facility Address:
1735 BUFORD HWY
CUMMING, GA
ZIP 30041
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Facility Phone Number: 770 781-8152

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1437198447

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	11D2095563
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #0026
Street	1735 BUFORD HWY
City	CUMMING
State	GA
ZIP	30041
Phone	770 781-8152
CertificateType	4
CertificateEffectiveDate	5/7/2023
CertificateExpirationDate	5/6/2025
FacilityType	Waiver

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