10D2225948 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #7919

Laboratory Demographics

  • CLIA Code: 10D2225948
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #7919
  • Facility Address: 12080 SOUTH JOG RD
    BOYNTON BEACH, FL
    ZIP 33437
  • Facility Phone: 561 733-4974
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ILANA OSTROVSKY
  • NPI Number: 1437253317
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2225948
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #7919
Street 12080 SOUTH JOG RD
City BOYNTON BEACH
State FL
ZIP 33437
Phone 561 733-4974
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director ILANA OSTROVSKY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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