10D2224429 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3660

Laboratory Demographics

  • CLIA Code: 10D2224429
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3660
  • Facility Address: 2109 STATE RD 60 E
    VALRICO, FL
    ZIP 33594
  • Facility Phone: 813 684-0583
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LORI DELIKAT
  • NPI Number: 1205930120
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2224429
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #3660
Street 2109 STATE RD 60 E
City VALRICO
State FL
ZIP 33594
Phone 813 684-0583
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Pharmacy
Lab Director LORI DELIKAT

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This page was last updated on: 6/4/2025