10D2227550 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #5145

Laboratory Demographics

  • CLIA Code: 10D2227550
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #5145
  • Facility Address: 4700 NW 183RD ST
    MIAMI GARDENS, FL
    ZIP 33055
  • Facility Phone: 305 620-6055
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYRA PIERRE
  • NPI Number: 1063698470
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227550
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #5145
Street 4700 NW 183RD ST
City MIAMI GARDENS
State FL
ZIP 33055
Phone 305 620-6055
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 KYRA PIERRE

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