10D2227323 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #1013

Laboratory Demographics

  • CLIA Code: 10D2227323
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #1013
  • Facility Address: 1760 S MCCALL RD
    ENGLEWOOD, FL
    ZIP 34223
  • Facility Phone: (941) 474-3267
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELYN MARTINEZ
  • NPI Number: 1881798866
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227323
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #1013
Street 1760 S MCCALL RD
City ENGLEWOOD
State FL
ZIP 34223
Phone 9414743267
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Pharmacy
Lab Director JACQUELYN MARTINEZ

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This page was last updated on: 5/18/2026