10D2284560 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #7917

Laboratory Demographics

  • CLIA Code: 10D2284560
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #7917
  • Facility Address: 3005 SR 540 W
    WINTER HAVEN, FL
    ZIP 33880
  • Facility Phone: 863 293-0193
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANJAYKUMAR SHAH
  • NPI Number: 1548364524
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284560
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #7917
Street 3005 SR 540 W
City WINTER HAVEN
State FL
ZIP 33880
Phone 863 293-0193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Pharmacy
Lab Director SANJAYKUMAR SHAH

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