42D2090619 CLIA NUMBER - PUBLIX PHARMACY #0067

Home > CLIA Lookup > 42D2090619

Laboratory Demographics

CLIA Number: 42D2090619

Facility Name: PUBLIX PHARMACY #0067

Facility Address:
2800 ROSEWOOD DR
COLUMBIA, SC
ZIP 29205
Get Directions

Facility Phone Number: 803 799-0801

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1194069880

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	42D2090619
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #0067
Street	2800 ROSEWOOD DR
City	COLUMBIA
State	SC
ZIP	29205
Phone	803 799-0801
CertificateType	4
CertificateEffectiveDate	1/27/2023
CertificateExpirationDate	1/26/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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