10D2259297 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #1812

Laboratory Demographics

  • CLIA Code: 10D2259297
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #1812
  • Facility Address: 20019 CORTEZ BLVD
    BROOKSVILLE, FL
    ZIP 34601
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXA CLARK
  • NPI Number: 1588768477
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2259297
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #1812
Street 20019 CORTEZ BLVD
City BROOKSVILLE
State FL
ZIP 34601
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Pharmacy
Lab Director ALEXA CLARK

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