10D2284158 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3349

Laboratory Demographics

  • CLIA Code: 10D2284158
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3349
  • Facility Address: 19070 S TAMIAMI TRAIL
    FORT MYERS, FL
    ZIP 33908
  • Facility Phone: 239 590-0049
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXANDER LANGE
  • NPI Number: 1063516920
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284158
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #3349
Street 19070 S TAMIAMI TRAIL
City FORT MYERS
State FL
ZIP 33908
Phone 239 590-0049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Pharmacy
Lab Director ALEXANDER LANGE

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