10D2187076 CLIA NUMBER - HOLIDAY CVS LLC DBA CVSPHARMACY #2303

Laboratory Demographics

CLIA Number: 10D2187076

Facility Name: HOLIDAY CVS LLC DBA CVSPHARMACY #2303

Facility Address:
7534 LAKE WORTH ROAD
LAKE WORTH, FL
ZIP 33467
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1861596744

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	10D2187076
LAB Type	Pharmacy
Facility Name	HOLIDAY CVS LLC DBA CVSPHARMACY #2303
Street	7534 LAKE WORTH ROAD
City	LAKE WORTH
State	FL
ZIP	33467
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	6/24/2022
CertificateExpirationDate	6/23/2024
FacilityType	Waiver

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