10D2285454 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #5234

Laboratory Demographics

  • CLIA Code: 10D2285454
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #5234
  • Facility Address: 301 3RD ST S
    SAINT PETERSBURG, FL
    ZIP 33701
  • Facility Phone: 727 822-7115
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HUSAM KASSEM
  • NPI Number: 1659475630
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2285454
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #5234
Street 301 3RD ST S
City SAINT PETERSBURG
State FL
ZIP 33701
Phone 727 822-7115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Pharmacy
Lab Director HUSAM KASSEM

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