10D2223817 CLIA NUMBER - HOLIDAY CVS, LLC DBA DBA CVS PHARMACY #17384

Laboratory Demographics

CLIA Number: 10D2223817

Facility Name: HOLIDAY CVS, LLC DBA DBA CVS PHARMACY #17384

Facility Address:
8040 MEDITERRANEAN DR
ESTERO, FL
ZIP 33928
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1972789386

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	10D2223817
LAB Type	Pharmacy
Facility Name	HOLIDAY CVS, LLC DBA DBA CVS PHARMACY #17384
Street	8040 MEDITERRANEAN DR
City	ESTERO
State	FL
ZIP	33928
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