10D2284501 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3528

Laboratory Demographics

  • CLIA Code: 10D2284501
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3528
  • Facility Address: 12990 CORTEZ BLVD
    BROOKSVILLE, FL
    ZIP 34613
  • Facility Phone: 352 596-1286
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LOUIS CAFIERO IV
  • NPI Number: 1447354345
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284501
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #3528
Street 12990 CORTEZ BLVD
City BROOKSVILLE
State FL
ZIP 34613
Phone 352 596-1286
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 LOUIS CAFIERO IV

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