10D2227081 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #1811

Laboratory Demographics

  • CLIA Code: 10D2227081
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #1811
  • Facility Address: 1504 S 3RD ST
    JACKSONVILLE BEACH, FL
    ZIP 32250
  • Facility Phone: (904) 246-7596
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: APRIL DOGBE
  • NPI Number: 1366546244
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227081
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #1811
Street 1504 S 3RD ST
City JACKSONVILLE BEACH
State FL
ZIP 32250
Phone 9042467596
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Pharmacy
Lab Director APRIL DOGBE

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This page was last updated on: 5/18/2026