10D2284340 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY#3423

Laboratory Demographics

  • CLIA Code: 10D2284340
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY#3423
  • Facility Address: 1300 E VINE ST
    KISSIMMEE, FL
    ZIP 34744
  • Facility Phone: (407) 846-7858
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: APRIL CAMPBELL
  • NPI Number: 1720182629
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284340
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY#3423
Street 1300 E VINE ST
City KISSIMMEE
State FL
ZIP 34744
Phone 4078467858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Pharmacy
Lab Director APRIL CAMPBELL

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This page was last updated on: 5/15/2026