10D2222267 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #4801

Laboratory Demographics

  • CLIA Code: 10D2222267
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #4801
  • Facility Address: 6170 LAKELAND HIGHLANDS RD
    LAKELAND, FL
    ZIP 33813
  • Facility Phone: 863 619-6409
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES CRAWSHAW
  • NPI Number: 1174627061
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2222267
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #4801
Street 6170 LAKELAND HIGHLANDS RD
City LAKELAND
State FL
ZIP 33813
Phone 863 619-6409
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Pharmacy
Lab Director JAMES CRAWSHAW

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