10D2284159 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3433

Laboratory Demographics

  • CLIA Code: 10D2284159
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3433
  • Facility Address: 14411 PALM BEACH BLVD
    FORT MYERS, FL
    ZIP 33905
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIL RASUL
  • NPI Number: 1487758397
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284159
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #3433
Street 14411 PALM BEACH BLVD
City FORT MYERS
State FL
ZIP 33905
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 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Pharmacy
Lab Director JAMIL RASUL

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