10D2227395 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3520

Laboratory Demographics

  • CLIA Code: 10D2227395
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3520
  • Facility Address: 6202 US HWY 41 N
    APOLLO BEACH, FL
    ZIP 33572
  • Facility Phone: 813 645-4605
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN MADDEN
  • NPI Number: 1922102839
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227395
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #3520
Street 6202 US HWY 41 N
City APOLLO BEACH
State FL
ZIP 33572
Phone 813 645-4605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Pharmacy
Lab Director KEVIN MADDEN

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