340B Drug Pricing Program Database

Name

Polk County Health Department

Subdivision Name

Lakeland Clinic

Type

Sexually Transmitted Diseases

340B ID

STD338051

Grant Number

NH25PS005131

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

Direct Funding (dollars received from CDC or an intermediate organization)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.

1/1/2024 - 2/28/2026

Current Program Status

Active

Registration Date

10/1/1994

Participating Start Date

1/1/2015

Participating Approval Date

5/30/2005

Last Recertification Date

5/6/2025

Notice of Funding Opportunity (NOFO) Number

CDC-RFA-PS19-1901

Authorizing Official

Florida Department of Health
Nathan Scott Sjoblom, Assistant Director
(863) 578-2103

Primary Contact

Florida Department of Health of Polk County
Star Mist Pope, Senior Community Health Nursing Supervisor
(863) 940-5169

Street Address

3241 Lakeland Hills Boulevard
Lakeland, FL 33805-1977

Billing Address

Polk County Health Department
1290 Golfview Avenue 4th Floor
Bartow, FL 33830