10D2259124 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #0304

Laboratory Demographics

  • CLIA Code: 10D2259124
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #0304
  • Facility Address: 101 N WABASH AVE
    LAKELAND, FL
    ZIP 33815
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNA KUNZ
  • NPI Number: 1891899878
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2259124
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #0304
Street 101 N WABASH AVE
City LAKELAND
State FL
ZIP 33815
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Pharmacy
Lab Director JENNA KUNZ

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