10D2223147 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3251

Laboratory Demographics

  • CLIA Code: 10D2223147
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3251
  • Facility Address: 130 E STATE RD 434
    LONGWOOD, FL
    ZIP 32750
  • Facility Phone: 407 332-8384
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIAM ABAZA
  • NPI Number: 1255435145
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2223147
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #3251
Street 130 E STATE RD 434
City LONGWOOD
State FL
ZIP 32750
Phone 407 332-8384
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director MARIAM ABAZA

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