10D2222060 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3664

Laboratory Demographics

  • CLIA Code: 10D2222060
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3664
  • Facility Address: 1010 BLOOMINGDALE AVE
    VALRICO, FL
    ZIP 33596
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TCHIALANN BOSS
  • NPI Number: 1700980778
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2222060
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #3664
Street 1010 BLOOMINGDALE AVE
City VALRICO
State FL
ZIP 33596
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 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Pharmacy
Lab Director TCHIALANN BOSS

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