10D2284470 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #11239

Laboratory Demographics

  • CLIA Code: 10D2284470
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #11239
  • Facility Address: 11521 SR 70 E
    BRADENTON, FL
    ZIP 34202
  • Facility Phone: 941 242-6876
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRIYA SAMLAL
  • NPI Number: 1861049090
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284470
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #11239
Street 11521 SR 70 E
City BRADENTON
State FL
ZIP 34202
Phone 941 242-6876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Pharmacy
Lab Director PRIYA SAMLAL

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