10D2284562 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3144

Laboratory Demographics

  • CLIA Code: 10D2284562
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3144
  • Facility Address: 901 S MAIN ST
    WILDWOOD, FL
    ZIP 34785
  • Facility Phone: 352 748-1414
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EILEEN O LEARY
  • NPI Number: 1033213921
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284562
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #3144
Street 901 S MAIN ST
City WILDWOOD
State FL
ZIP 34785
Phone 352 748-1414
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 EILEEN O LEARY

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