10D2283826 CLIA NUMBER - HOLIDAY CVS LLC DBA CVSPHARMACY #5056

Laboratory Demographics

  • CLIA Code: 10D2283826
  • Facility Name: HOLIDAY CVS LLC DBA CVSPHARMACY #5056
  • Facility Address: 11100 W OAKLAND PARK BLVD
    SUNRISE, FL
    ZIP 33351
  • Facility Phone: 954 749-1848
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JERRY VOLTAIRE
  • NPI Number: 1134223092
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2283826
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVSPHARMACY #5056
Street 11100 W OAKLAND PARK BLVD
City SUNRISE
State FL
ZIP 33351
Phone 954 749-1848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Pharmacy
Lab Director JERRY VOLTAIRE

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