10D2227487 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS PHARMACY #3887

Laboratory Demographics

  • CLIA Code: 10D2227487
  • Facility Name: HOLIDAY CVS, LLC DBA CVS PHARMACY #3887
  • Facility Address: 4970 W ATLANTIC AVE
    DELRAY BEACH, FL
    ZIP 33445
  • Facility Phone: 561 498-7001
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GINA PUDER
  • NPI Number: 1609970672
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227487
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS PHARMACY #3887
Street 4970 W ATLANTIC AVE
City DELRAY BEACH
State FL
ZIP 33445
Phone 561 498-7001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Pharmacy
Lab Director GINA PUDER

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