10D2227422 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3756

Laboratory Demographics

  • CLIA Code: 10D2227422
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3756
  • Facility Address: 2391 W 68TH ST
    HIALEAH, FL
    ZIP 33016
  • Facility Phone: 305 820-2122
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEYLING LOPEZ
  • NPI Number: 1144400136
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227422
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #3756
Street 2391 W 68TH ST
City HIALEAH
State FL
ZIP 33016
Phone 305 820-2122
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 KEYLING LOPEZ

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