10D2206722 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS PHARMACY #3298

Laboratory Demographics

  • CLIA Code: 10D2206722
  • Facility Name: HOLIDAY CVS LLC DBA CVS PHARMACY #3298
  • Facility Address: 8800 SE BRIDGE RD/ PO BOX 371
    HOBE SOUND, FL
    ZIP 33455
  • Facility Phone: 772 546-4488
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ISMAEL SERRANO
  • NPI Number: 1679632913
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2206722
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS PHARMACY #3298
Street 8800 SE BRIDGE RD/ PO BOX 371
City HOBE SOUND
State FL
ZIP 33455
Phone 772 546-4488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Pharmacy
Lab Director ISMAEL SERRANO

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