10D2227426 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3765

Laboratory Demographics

  • CLIA Code: 10D2227426
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3765
  • Facility Address: 19198 S DIXIE HWY
    MIAMI, FL
    ZIP 33157
  • Facility Phone: 305 252-8662
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAURICIO MENARD
  • NPI Number: 1235233206
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227426
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #3765
Street 19198 S DIXIE HWY
City MIAMI
State FL
ZIP 33157
Phone 305 252-8662
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 MAURICIO MENARD

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