CLIA lab

CLIA 10D2283890: Holiday CVS LLC DBA CVS Pharmacy #4072

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

CLIA number 10D2283890 belongs to Holiday CVS LLC DBA CVS Pharmacy #4072 in Hialeah, FL.

Certificate of Waiver, effective June 14, 2025, expires June 13, 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
June 14, 2025
Certificate expiration
June 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 14, 2023
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
10D2283890
Lab name
Holiday CVS LLC DBA CVS Pharmacy #4072
Address
1525 W 49th St, Hialeah, FL 33012
Phone
(305) 557-1365
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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Related

Questions

What is the CLIA number for Holiday CVS LLC DBA CVS Pharmacy #4072 in Hialeah?

10D2283890, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Holiday CVS LLC DBA CVS Pharmacy #4072 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2283890 expire?

The CMS file lists June 13, 2027 as the certificate expiration date; the certificate took effect June 14, 2025.

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