10D2259359 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #453

Laboratory Demographics

  • CLIA Code: 10D2259359
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #453
  • Facility Address: 15050 N CLEVELAND AVE
    N FT MYERS, FL
    ZIP 33903
  • Facility Phone: 239 995-5461
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE CASTRO
  • NPI Number: 1073617056
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2259359
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #453
Street 15050 N CLEVELAND AVE
City N FT MYERS
State FL
ZIP 33903
Phone 239 995-5461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Pharmacy
Lab Director MICHELLE CASTRO

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