10D2222162 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS PHARMACY #4478

Laboratory Demographics

  • CLIA Code: 10D2222162
  • Facility Name: HOLIDAY CVS LLC DBA CVS PHARMACY #4478
  • Facility Address: 3831 N MONROE ST
    TALLAHASSEE, FL
    ZIP 32303
  • Facility Phone: 850 536-0417
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA ROGERS
  • NPI Number: 1770680266
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2222162
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS PHARMACY #4478
Street 3831 N MONROE ST
City TALLAHASSEE
State FL
ZIP 32303
Phone 850 536-0417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Pharmacy
Lab Director LAURA ROGERS

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This page was last updated on: 9/29/2025