10D2324364 CLIA NUMBER - NOVA PHARMACY CORP

Laboratory Demographics

  • CLIA Code: 10D2324364
  • Facility Name: NOVA PHARMACY CORP
  • Facility Address: 950 1ST ST S STE 103
    WINTER HAVEN, FL
    ZIP 33880
  • Facility Phone: 305 262-6682
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAHE MARRERO
  • NPI Number: 1255698122
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2324364
LAB Type Pharmacy
Facility Name NOVA PHARMACY CORP
Street 950 1ST ST S STE 103
City WINTER HAVEN
State FL
ZIP 33880
Phone 305 262-6682
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Pharmacy
Lab Director MAHE MARRERO

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