10D2284157 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #03226

Laboratory Demographics

  • CLIA Code: 10D2284157
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #03226
  • Facility Address: 5044 FOREST HILL BLVD
    WEST PALM BEACH, FL
    ZIP 33415
  • Facility Phone: 561 967-9118
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAYDI PENATE HERRERA
  • NPI Number: 1164541116
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284157
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #03226
Street 5044 FOREST HILL BLVD
City WEST PALM BEACH
State FL
ZIP 33415
Phone 561 967-9118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Pharmacy
Lab Director MAYDI PENATE HERRERA

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