10D2226972 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #3287

Laboratory Demographics

  • CLIA Code: 10D2226972
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #3287
  • Facility Address: 850 W SAMPLE RD
    POMPANO BEACH, FL
    ZIP 33064
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREGORY PENSAK
  • NPI Number: 1689778664
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2226972
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #3287
Street 850 W SAMPLE RD
City POMPANO BEACH
State FL
ZIP 33064
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Pharmacy
Lab Director GREGORY PENSAK

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