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10D2284597 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVSPHARMACY #0710

Laboratory Demographics

CLIA Number: 10D2284597

Facility Name: HOLIDAY CVS, LLC DBA CVSPHARMACY #0710

Facility Address:
1708 N MONROE ST
TALLAHASSEE, FL
ZIP 32303
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Facility Phone Number: 850 385-6136

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1932203817

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 10D2284597
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVSPHARMACY #0710
Street 1708 N MONROE ST
City TALLAHASSEE
State FL
ZIP 32303
Phone 850 385-6136
CertificateType 4
CertificateEffectiveDate 6/27/2023
CertificateExpirationDate 6/26/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024