10D2227540 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #5117

Laboratory Demographics

  • CLIA Code: 10D2227540
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #5117
  • Facility Address: 900 SOUTH SR 7
    HOLLYWOOD, FL
    ZIP 33023
  • Facility Phone: 954 962-2005
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALYSSA BARRERA
  • NPI Number: 1699879551
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227540
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #5117
Street 900 SOUTH SR 7
City HOLLYWOOD
State FL
ZIP 33023
Phone 954 962-2005
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 ALYSSA BARRERA

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