10D2239360 CLIA NUMBER - HAWA PHARMACY INC

Laboratory Demographics

  • CLIA Code: 10D2239360
  • Facility Name: HAWA PHARMACY INC
  • Facility Address: 646 S DILLARD STREET
    WINTER GARDEN, FL
    ZIP 34787
  • Facility Phone: 407 656-0081
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOE IBSSA
  • NPI Number: 1427120203
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2239360
LAB Type Pharmacy
Facility Name HAWA PHARMACY INC
Street 646 S DILLARD STREET
City WINTER GARDEN
State FL
ZIP 34787
Phone 407 656-0081
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2023
Certificate Expiration Date 10/11/2025
Facility Type Pharmacy
Lab Director JOE IBSSA

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