10D2227490 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS PHARMACY #3964

Laboratory Demographics

  • CLIA Code: 10D2227490
  • Facility Name: HOLIDAY CVS, LLC DBA CVS PHARMACY #3964
  • Facility Address: 101 N DIXIE HWY
    LAKE WORTH, FL
    ZIP 33460
  • Facility Phone: 561 547-5289
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON HOWELL
  • NPI Number: 1912001876
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227490
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS PHARMACY #3964
Street 101 N DIXIE HWY
City LAKE WORTH
State FL
ZIP 33460
Phone 561 547-5289
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2023
Certificate Expiration Date 6/13/2025
Facility Type Pharmacy
Lab Director JASON HOWELL

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This page was last updated on: 3/20/2025