10D2285597 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS PHARMACY #3764

Laboratory Demographics

  • CLIA Code: 10D2285597
  • Facility Name: HOLIDAY CVS LLC DBA CVS PHARMACY #3764
  • Facility Address: 20345 OLD CUTLER RD
    CUTLER RIDGE, FL
    ZIP 33189
  • Facility Phone: (305) 232-9130
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FABIOLA COLOMA
  • NPI Number: 1326142399
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2285597
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS PHARMACY #3764
Street 20345 OLD CUTLER RD
City CUTLER RIDGE
State FL
ZIP 33189
Phone 3052329130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Pharmacy
Lab Director FABIOLA COLOMA

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This page was last updated on: 5/18/2026