10D2222715 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3818

Laboratory Demographics

  • CLIA Code: 10D2222715
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3818
  • Facility Address: 21140 ST ANDREWS BLVD
    BOCA RATON, FL
    ZIP 33433
  • Facility Phone: 561 391-9613
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY FELT
  • NPI Number: 1518062348
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2222715
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #3818
Street 21140 ST ANDREWS BLVD
City BOCA RATON
State FL
ZIP 33433
Phone 561 391-9613
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Pharmacy
Lab Director ANTHONY FELT

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