10D2227883 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS PHARMACY #5205

Laboratory Demographics

  • CLIA Code: 10D2227883
  • Facility Name: HOLIDAY CVS, LLC DBA CVS PHARMACY #5205
  • Facility Address: 301 N FEDERAL HWY
    BOYNTON BEACH, FL
    ZIP 33435
  • Facility Phone: 561 470-7828
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANE JOHNSON
  • NPI Number: 1164526034
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227883
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS PHARMACY #5205
Street 301 N FEDERAL HWY
City BOYNTON BEACH
State FL
ZIP 33435
Phone 561 470-7828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Pharmacy
Lab Director DANE JOHNSON

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