10D2225998 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #03466

Laboratory Demographics

  • CLIA Code: 10D2225998
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #03466
  • Facility Address: 5400 4TH ST N
    SAINT PETERSBURG, FL
    ZIP 33703
  • Facility Phone: 727 525-2184
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA GESIORSKI
  • NPI Number: 1457455354
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2225998
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #03466
Street 5400 4TH ST N
City SAINT PETERSBURG
State FL
ZIP 33703
Phone 727 525-2184
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director JOSHUA GESIORSKI

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