CLIA lab

CLIA 10D1103205: Costco Pharmacy #91

Davie, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D1103205 belongs to Costco Pharmacy #91 in Davie, FL.

Certificate of Waiver, effective August 5, 2025, expires August 4, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 5, 2025
Certificate expiration
August 4, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 5, 2009
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D1103205
Lab name
Costco Pharmacy #91
Address
1890 S University Dr, Davie, FL 33324
Phone
(954) 236-7837
Fax
(954) 236-7846

Annual test volume the lab reported

Waived tests
200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Davie, FL

Related

Questions

What is the CLIA number for Costco Pharmacy #91 in Davie?

10D1103205, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Costco Pharmacy #91 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D1103205 expire?

The CMS file lists August 4, 2027 as the certificate expiration date; the certificate took effect August 5, 2025.

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