10D2223742 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #17151

Laboratory Demographics

CLIA Number: 10D2223742

Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #17151

Facility Address:
2415 TARPON BAY BLVD
NAPLES, FL
ZIP 34119
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1942417084

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	10D2223742
LAB Type	Pharmacy
Facility Name	HOLIDAY CVS, LLC DBA CVS/PHARMACY #17151
Street	2415 TARPON BAY BLVD
City	NAPLES
State	FL
ZIP	34119
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	5/10/2023
CertificateExpirationDate	5/9/2025
FacilityType	Waiver

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