10D2259073 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #0628

Laboratory Demographics

  • CLIA Code: 10D2259073
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #0628
  • Facility Address: 600 NE 128TH ST
    NORTH MIAMI, FL
    ZIP 33161
  • Facility Phone: (305) 893-0560
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE C. MCQUEEN
  • NPI Number: 1205930187
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2259073
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #0628
Street 600 NE 128TH ST
City NORTH MIAMI
State FL
ZIP 33161
Phone 3058930560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2026
Certificate Expiration Date 5/1/2028
Facility Type Pharmacy
Lab Director MICHELLE C. MCQUEEN

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This page was last updated on: 5/18/2026