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10D2284604 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #5859

Laboratory Demographics

CLIA Number: 10D2284604

Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #5859

Facility Address:
3813 MANATEE AVE W
BRADENTON, FL
ZIP 34205
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Facility Phone Number: 941 747-5944

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1275637258

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 10D2284604
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #5859
Street 3813 MANATEE AVE W
City BRADENTON
State FL
ZIP 34205
Phone 941 747-5944
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