10D2284307 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #7894

Laboratory Demographics

CLIA Number: 10D2284307

Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #7894

Facility Address:
8495 US HWY 1
VERO BEACH, FL
ZIP 32967
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Facility Phone Number: 772 589-2822

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1225133051

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	10D2284307
LAB Type	Pharmacy
Facility Name	HOLIDAY CVS LLC DBA CVS/PHARMACY #7894
Street	8495 US HWY 1
City	VERO BEACH
State	FL
ZIP	32967
Phone	772 589-2822
CertificateType	4
CertificateEffectiveDate	6/21/2023
CertificateExpirationDate	6/20/2025
FacilityType	Waiver

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