10D2227244 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #246

Laboratory Demographics

  • CLIA Code: 10D2227244
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #246
  • Facility Address: 4292 N ATLANTIC AVE
    COCOA BEACH, FL
    ZIP 32931
  • Facility Phone: 321 784-0503
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT LUTHY
  • NPI Number: 1952405938
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227244
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #246
Street 4292 N ATLANTIC AVE
City COCOA BEACH
State FL
ZIP 32931
Phone 321 784-0503
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Pharmacy
Lab Director SCOTT LUTHY

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