10D2227740 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #5207

Laboratory Demographics

  • CLIA Code: 10D2227740
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #5207
  • Facility Address: 2725 N MACDILL AVE
    TAMPA, FL
    ZIP 33607
  • Facility Phone: 813 873-0259
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA MARTINEZ LOPEZ
  • NPI Number: 1356445225
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227740
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #5207
Street 2725 N MACDILL AVE
City TAMPA
State FL
ZIP 33607
Phone 813 873-0259
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 LAURA MARTINEZ LOPEZ

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