10D2222364 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #4808

Laboratory Demographics

  • CLIA Code: 10D2222364
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #4808
  • Facility Address: 11375 W ATLANTIC BLVD
    CORAL SPRINGS, FL
    ZIP 33071
  • Facility Phone: 954 341-7636
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARREN
  • NPI Number: 1437253390
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2222364
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #4808
Street 11375 W ATLANTIC BLVD
City CORAL SPRINGS
State FL
ZIP 33071
Phone 954 341-7636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Pharmacy
Lab Director KIMBERLY WARREN

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