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10D2227402 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #16483

Laboratory Demographics

CLIA Number: 10D2227402

Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #16483

Facility Address:
5900 LAKE WORTH
GREENACRES, FL
ZIP 33463
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1346262987

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 10D2227402
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #16483
Street 5900 LAKE WORTH
City GREENACRES
State FL
ZIP 33463
Phone 866 389-2727
CertificateType 4
CertificateEffectiveDate 6/11/2023
CertificateExpirationDate 6/10/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024