10D2225952 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #3437

Laboratory Demographics

  • CLIA Code: 10D2225952
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #3437
  • Facility Address: 575 W INDIANTOWN RD
    JUPITER, FL
    ZIP 33458
  • Facility Phone: 561 746-8212
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TOM HASS
  • NPI Number: 1003910928
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2225952
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #3437
Street 575 W INDIANTOWN RD
City JUPITER
State FL
ZIP 33458
Phone 561 746-8212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director TOM HASS

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This page was last updated on: 9/29/2025