10D2222643 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3228

Laboratory Demographics

CLIA Number: 10D2222643

Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3228

Facility Address:
1298 COUNTY RD 1
DUNEDIN, FL
ZIP 34698
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1740384668

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	10D2222643
LAB Type	Pharmacy
Facility Name	HOLIDAY CVS, LLC DBA CVS/PHARMACY #3228
Street	1298 COUNTY RD 1
City	DUNEDIN
State	FL
ZIP	34698
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	4/30/2023
CertificateExpirationDate	4/29/2025
FacilityType	Waiver

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