10D2227382 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #10464

Laboratory Demographics

  • CLIA Code: 10D2227382
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #10464
  • Facility Address: 3750 NW 87TH AVENUE, SUITE B
    DORAL, FL
    ZIP 33178
  • Facility Phone: 786 331-8203
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA GONZALEZ
  • NPI Number: 1275648396
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227382
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #10464
Street 3750 NW 87TH AVENUE, SUITE B
City DORAL
State FL
ZIP 33178
Phone 786 331-8203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Pharmacy
Lab Director LAURA GONZALEZ

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