10D2284160 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3919

Laboratory Demographics

  • CLIA Code: 10D2284160
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3919
  • Facility Address: 2077 NORTH MILITARY TRAIL
    WEST PALM BEACH, FL
    ZIP 33409
  • Facility Phone: 561 684-4626
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CRISTINA BROMAN
  • NPI Number: 1144324112
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284160
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #3919
Street 2077 NORTH MILITARY TRAIL
City WEST PALM BEACH
State FL
ZIP 33409
Phone 561 684-4626
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 CRISTINA BROMAN

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