10D2222441 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #5151

Laboratory Demographics

CLIA Number: 10D2222441

Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #5151

Facility Address:
4780 N KINGS HWY
FORT PIERCE, FL
ZIP 34951
Get Directions

Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1306940267

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2222441
LAB Type	Pharmacy
Facility Name	HOLIDAY CVS, LLC DBA CVS/PHARMACY #5151
Street	4780 N KINGS HWY
City	FORT PIERCE
State	FL
ZIP	34951
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	4/29/2023
CertificateExpirationDate	4/28/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024