10D2227298 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #2895

Laboratory Demographics

  • CLIA Code: 10D2227298
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #2895
  • Facility Address: 19800 NW 2ND AVE
    MIAMI GARDENS, FL
    ZIP 33169
  • Facility Phone: 305 493-5293
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANIXA RODRIGUEZ
  • NPI Number: 1396842886
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227298
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #2895
Street 19800 NW 2ND AVE
City MIAMI GARDENS
State FL
ZIP 33169
Phone 305 493-5293
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Pharmacy
Lab Director ANIXA RODRIGUEZ

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