10D2285448 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #2898

Laboratory Demographics

CLIA Number: 10D2285448

Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #2898

Facility Address:
813 W BEARSS AVE
TAMPA, FL
ZIP 33613
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Facility Phone Number: 813 908-0360

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1417051384

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	10D2285448
LAB Type	Pharmacy
Facility Name	HOLIDAY CVS, LLC DBA CVS/PHARMACY #2898
Street	813 W BEARSS AVE
City	TAMPA
State	FL
ZIP	33613
Phone	813 908-0360
CertificateType	4
CertificateEffectiveDate	7/12/2023
CertificateExpirationDate	7/11/2025
FacilityType	Waiver

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