10D2227242 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #0538

Laboratory Demographics

  • CLIA Code: 10D2227242
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #0538
  • Facility Address: 7351 W HILLSBOROUGH AVE
    TAMPA, FL
    ZIP 33634
  • Facility Phone: 813 884-2506
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LICET NOBOTE
  • NPI Number: 1609970680
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227242
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #0538
Street 7351 W HILLSBOROUGH AVE
City TAMPA
State FL
ZIP 33634
Phone 813 884-2506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Pharmacy
Lab Director LICET NOBOTE

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