10D2259070 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVSPHARMACY #5118

Laboratory Demographics

  • CLIA Code: 10D2259070
  • Facility Name: HOLIDAY CVS, LLC DBA CVSPHARMACY #5118
  • Facility Address: 28740 S DIXIE HWY
    HOMESTEAD, FL
    ZIP 33033
  • Facility Phone: 305 248-1761
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE BERNHARDT
  • NPI Number: 1154508950
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2259070
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVSPHARMACY #5118
Street 28740 S DIXIE HWY
City HOMESTEAD
State FL
ZIP 33033
Phone 305 248-1761
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Pharmacy
Lab Director NICOLE BERNHARDT

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