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

Laboratory Demographics

CLIA Number: 10D2227323

Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #1013

Facility Address:
1760 S MCCALL RD
ENGLEWOOD, FL
ZIP 34223
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1881798866

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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	866 389-2727
CertificateType	4
CertificateEffectiveDate	6/10/2023
CertificateExpirationDate	6/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024