10D2227671 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #5786

Laboratory Demographics

  • CLIA Code: 10D2227671
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #5786
  • Facility Address: 16550 NE 6TH AVE, NORTH
    MIAMI, FL
    ZIP 33162
  • Facility Phone: 305 940-6172
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRANIECE FULLWOOD
  • NPI Number: 1174627053
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227671
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #5786
Street 16550 NE 6TH AVE, NORTH
City MIAMI
State FL
ZIP 33162
Phone 305 940-6172
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Pharmacy
Lab Director TRANIECE FULLWOOD

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