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49D2130813 CLIA NUMBER - PUBLIX PHARMACY #1589

Laboratory Demographics

CLIA Number: 49D2130813

Facility Name: PUBLIX PHARMACY #1589

Facility Address:
10250 STAPLES MILL ROAD
GLEN ALLEN, VA
ZIP 23060
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Facility Phone Number: 804 591-4320

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1467991547

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 49D2130813
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1589
Street 10250 STAPLES MILL ROAD
City GLEN ALLEN
State VA
ZIP 23060
Phone 804 591-4320
CertificateType 4
CertificateEffectiveDate 5/17/2023
CertificateExpirationDate 5/16/2025
FacilityType Waiver

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