10D2227717 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #5783

Laboratory Demographics

  • CLIA Code: 10D2227717
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #5783
  • Facility Address: 8603 W HILLSBOROUGH AVE
    TAMPA, FL
    ZIP 33615
  • Facility Phone: 813 882-4029
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAYLIN MARTINEZ
  • NPI Number: 1912226044
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2227717
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #5783
Street 8603 W HILLSBOROUGH AVE
City TAMPA
State FL
ZIP 33615
Phone 813 882-4029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Pharmacy
Lab Director MAYLIN MARTINEZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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