10D2223379 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #10644

Laboratory Demographics

  • CLIA Code: 10D2223379
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #10644
  • Facility Address: 9701 SW 72ND ST
    MIAMI, FL
    ZIP 33173
  • Facility Phone: 305 273-1247
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANABEL DE LA BARRERA
  • NPI Number: 1356456479
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2223379
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #10644
Street 9701 SW 72ND ST
City MIAMI
State FL
ZIP 33173
Phone 305 273-1247
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Pharmacy
Lab Director ANABEL DE LA BARRERA

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