10D2283831 CLIA NUMBER - HOLIDAY CVS LLC DBA NAVARRO DISCOUNT PHARMACY #11087

Laboratory Demographics

  • CLIA Code: 10D2283831
  • Facility Name: HOLIDAY CVS LLC DBA NAVARRO DISCOUNT PHARMACY #11087
  • Facility Address: 802 E. 25TH STREET
    HIALEAH, FL
    ZIP 33013
  • Facility Phone: 305 341-4515
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DONNY GONZALEZ MEDINA
  • NPI Number: 1144874793
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2283831
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA NAVARRO DISCOUNT PHARMACY #11087
Street 802 E. 25TH STREET
City HIALEAH
State FL
ZIP 33013
Phone 305 341-4515
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 DONNY GONZALEZ MEDINA

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