10D2284504 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #171

Laboratory Demographics

  • CLIA Code: 10D2284504
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #171
  • Facility Address: 7400 49TH ST N
    PINELLAS PARK, FL
    ZIP 33781
  • Facility Phone: 727 544-1491
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDY ACEVEDO
  • NPI Number: 1356445332
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284504
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #171
Street 7400 49TH ST N
City PINELLAS PARK
State FL
ZIP 33781
Phone 727 544-1491
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 ANDY ACEVEDO

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