10D2259376 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY

Laboratory Demographics

CLIA Number: 10D2259376

Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY

Facility Address:
6800 COLLIER BLVD
NAPLES, FL
ZIP 34114
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1528162401

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 10D2259376
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY
Street 6800 COLLIER BLVD
City NAPLES
State FL
ZIP 34114
Phone 866 389-2727
CertificateType 4
CertificateEffectiveDate 5/5/2024
CertificateExpirationDate 5/4/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024