10D2224974 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3604

Laboratory Demographics

  • CLIA Code: 10D2224974
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3604
  • Facility Address: 1806 S RIDGEWOOD AVE
    EDGEWATER, FL
    ZIP 32132
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TINA APPY
  • NPI Number: 1134223043
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2224974
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #3604
Street 1806 S RIDGEWOOD AVE
City EDGEWATER
State FL
ZIP 32132
Phone 401 770-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Pharmacy
Lab Director TINA APPY

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