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10D2259712 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3155

Laboratory Demographics

CLIA Number: 10D2259712

Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3155

Facility Address:
2728 US HWY 27 S
SEBRING, FL
ZIP 33870
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1275637167

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 10D2259712
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #3155
Street 2728 US HWY 27 S
City SEBRING
State FL
ZIP 33870
Phone 866 389-2727
CertificateType 4
CertificateEffectiveDate 5/10/2024
CertificateExpirationDate 5/9/2026
FacilityType Waiver

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