10D2224508 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3616

Laboratory Demographics

CLIA Number: 10D2224508

Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3616

Facility Address:
13400 S CLEVELAND AVE
FORT MYERS, FL
ZIP 33907
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Facility Phone Number: (401) 770-6431

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1801990775

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	10D2224508
LAB Type	PHARMACY
Facility Name	HOLIDAY CVS, LLC DBA CVS/PHARMACY #3616
Street	13400 S CLEVELAND AVE
City	FORT MYERS
State	FL
ZIP	33907
Phone	(401) 770-6431

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This page was last updated on: 5/11/2023