10D2222523 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #5080

Laboratory Demographics

  • CLIA Code: 10D2222523
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #5080
  • Facility Address: 312 NORTHLAKE BLVD
    NORTH PALM BEACH, FL
    ZIP 33408
  • Facility Phone: 561 845-2186
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUNG NGUYEN
  • NPI Number: 1124122080
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2222523
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #5080
Street 312 NORTHLAKE BLVD
City NORTH PALM BEACH
State FL
ZIP 33408
Phone 561 845-2186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Pharmacy
Lab Director DUNG NGUYEN

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