10D2226003 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS PHARMACY #03547

Laboratory Demographics

  • CLIA Code: 10D2226003
  • Facility Name: HOLIDAY CVS LLC DBA CVS PHARMACY #03547
  • Facility Address: 2100 66TH ST N
    SAINT PETERSBURG, FL
    ZIP 33710
  • Facility Phone: 727 345-3599
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHHANIL THONG
  • NPI Number: 1376647297
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2226003
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS PHARMACY #03547
Street 2100 66TH ST N
City SAINT PETERSBURG
State FL
ZIP 33710
Phone 727 345-3599
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 RACHHANIL THONG

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