10D2227529 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #5115

Laboratory Demographics

  • CLIA Code: 10D2227529
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #5115
  • Facility Address: 2920 DAVIE RD
    DAVIE, FL
    ZIP 33314
  • Facility Phone: 954 584-8059
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANA FISHER
  • NPI Number: 1790889657
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227529
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #5115
Street 2920 DAVIE RD
City DAVIE
State FL
ZIP 33314
Phone 954 584-8059
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 DANA FISHER

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