10D2222138 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #4069

Laboratory Demographics

CLIA Number: 10D2222138

Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #4069

Facility Address:
4725 N OCEAN DR
FORT LAUDERDALE, FL
ZIP 33308
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Facility Phone Number: (401) 770-6431

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1497859474

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	10D2222138
LAB Type	PHARMACY
Facility Name	HOLIDAY CVS LLC DBA CVS/PHARMACY #4069
Street	4725 N OCEAN DR
City	FORT LAUDERDALE
State	FL
ZIP	33308
Phone	(401) 770-6431

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This page was last updated on: 5/11/2023