10D2187074 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #998

Laboratory Demographics

  • CLIA Code: 10D2187074
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #998
  • Facility Address: 4401 W GANDY BLVD
    TAMPA, FL
    ZIP 33611
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIANY GARCIA
  • NPI Number: 1598869463
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2187074
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #998
Street 4401 W GANDY BLVD
City TAMPA
State FL
ZIP 33611
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 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Pharmacy
Lab Director ELIANY GARCIA

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