10D2227494 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/ PHARMACY #4989

Laboratory Demographics

  • CLIA Code: 10D2227494
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/ PHARMACY #4989
  • Facility Address: 4500 DONALD ROSS RD
    PALM BEACH GARDENS, FL
    ZIP 33418
  • Facility Phone: 561 624-3799
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE LATINKICH
  • NPI Number: 1225049448
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227494
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/ PHARMACY #4989
Street 4500 DONALD ROSS RD
City PALM BEACH GARDENS
State FL
ZIP 33418
Phone 561 624-3799
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 NICOLE LATINKICH

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