CLIA lab
CLIA 10D2222104: Holiday CVS LLC DBA Cvs/Pharmacy #5174
Wilton Manors, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2222104 belongs to Holiday CVS LLC DBA Cvs/Pharmacy #5174 in Wilton Manors, FL.
Certificate of Waiver, effective April 27, 2025, expires April 26, 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
- April 27, 2025
- Certificate expiration
- April 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 27, 2021
- 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
- 10D2222104
- Lab name
- Holiday CVS LLC DBA Cvs/Pharmacy #5174
- Address
- 1150 NE 26th St, Wilton Manors, FL 33305
- Phone
- (954) 566-7474
- Fax
- (401) 216-0351
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- CSL Plasma IncCertificate of Compliance, Other10D2028813
- Clinique 300 IncCertificate of Waiver, Physician office10D2093306
- Fort Lauderdale Medical Surgical AssociatesCertificate of Waiver, Physician office10D1025582
- Fowler GYN InternationalCertificate for Provider-Performed Microscopy Procedures, Physician office10D2312007
- Gay & Lesbian Community CTR of South FloridaCertificate of Waiver, Other10D1048230
- Hcmg - Wilton ManorsCertificate of Waiver, Physician office10D0911283
- Independence HallCertificate of Waiver, Assisted living facility10D2281637
- Island City Urgent CareCertificate of Waiver, Other practitioner10D2317428
- James Club Treatment CenterCertificate of Waiver, Other10D2333783
Related
Questions
What is the CLIA number for Holiday CVS LLC DBA Cvs/Pharmacy #5174 in Wilton Manors?
10D2222104, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Holiday CVS LLC DBA Cvs/Pharmacy #5174 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2222104 expire?
The CMS file lists April 26, 2027 as the certificate expiration date; the certificate took effect April 27, 2025.