10D2187029 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #3222

Laboratory Demographics

  • CLIA Code: 10D2187029
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #3222
  • Facility Address: 4511 LANTANA ROAD
    LAKE WORTH, FL
    ZIP 33463
  • Facility Phone: 561 965-6444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DIEM CHI NGUYEN
  • NPI Number: 1346344231
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2187029
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #3222
Street 4511 LANTANA ROAD
City LAKE WORTH
State FL
ZIP 33463
Phone 561 965-6444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Pharmacy
Lab Director DIEM CHI NGUYEN

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