10D2285598 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS PHARMACY #0981

Laboratory Demographics

  • CLIA Code: 10D2285598
  • Facility Name: HOLIDAY CVS, LLC DBA CVS PHARMACY #0981
  • Facility Address: 3501 W DAVIE BLVD
    FORT LAUDERDALE, FL
    ZIP 33312
  • Facility Phone: 954 583-9195
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARLOS PEREZ
  • NPI Number: 1104920081
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2285598
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS PHARMACY #0981
Street 3501 W DAVIE BLVD
City FORT LAUDERDALE
State FL
ZIP 33312
Phone 954 583-9195
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2023
Certificate Expiration Date 7/13/2025
Facility Type Pharmacy
Lab Director CARLOS PEREZ

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This page was last updated on: 3/20/2025