10D2283667 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS PHARMACY #2747

Laboratory Demographics

  • CLIA Code: 10D2283667
  • Facility Name: HOLIDAY CVS LLC DBA CVS PHARMACY #2747
  • Facility Address: 1802 N UNIVERSITY DR
    PLANTATION, FL
    ZIP 33322
  • Facility Phone: 954 473-8070
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY RAGHUNATH
  • NPI Number: 1184728065
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2283667
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS PHARMACY #2747
Street 1802 N UNIVERSITY DR
City PLANTATION
State FL
ZIP 33322
Phone 954 473-8070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Pharmacy
Lab Director ASHLEY RAGHUNATH

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This page was last updated on: 6/4/2025