10D2286015 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #4701

Laboratory Demographics

  • CLIA Code: 10D2286015
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #4701
  • Facility Address: 6701 N DALE MABRY HWY
    TAMPA, FL
    ZIP 33614
  • Facility Phone: 813 873-0472
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON SHEAKOSKI
  • NPI Number: 1720182694
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2286015
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #4701
Street 6701 N DALE MABRY HWY
City TAMPA
State FL
ZIP 33614
Phone 813 873-0472
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Pharmacy
Lab Director JASON SHEAKOSKI

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