10D2227340 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #1047

Laboratory Demographics

  • CLIA Code: 10D2227340
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #1047
  • Facility Address: 6204 14TH ST W
    BRADENTON, FL
    ZIP 34207
  • Facility Phone: 941 755-3716
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARSHIT PATEL
  • NPI Number: 1508960584
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227340
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #1047
Street 6204 14TH ST W
City BRADENTON
State FL
ZIP 34207
Phone 941 755-3716
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 DARSHIT PATEL

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