10D2259511 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #5204

Laboratory Demographics

  • CLIA Code: 10D2259511
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #5204
  • Facility Address: 955 W 23RD ST
    PANAMA CITY, FL
    ZIP 32405
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENNETH KWARTENG
  • NPI Number: 1275637142
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2259511
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #5204
Street 955 W 23RD ST
City PANAMA CITY
State FL
ZIP 32405
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 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Pharmacy
Lab Director KENNETH KWARTENG

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