10D2227887 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS PHARMACY #7983

Laboratory Demographics

  • CLIA Code: 10D2227887
  • Facility Name: HOLIDAY CVS, LLC DBA CVS PHARMACY #7983
  • Facility Address: 11300 STATE ROAD 82
    FORT MYERS, FL
    ZIP 33905
  • Facility Phone: 239 461-0147
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDGARDO SUAREZ
  • NPI Number: 1801057153
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227887
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS PHARMACY #7983
Street 11300 STATE ROAD 82
City FORT MYERS
State FL
ZIP 33905
Phone 239 461-0147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Pharmacy
Lab Director EDGARDO SUAREZ

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