10D2227522 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #6456

Laboratory Demographics

  • CLIA Code: 10D2227522
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #6456
  • Facility Address: 8325 BAYMEADOWS RD
    JACKSONVILLE, FL
    ZIP 32256
  • Facility Phone: 904 733-6254
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JIGAR PATEL
  • NPI Number: 1477575025
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227522
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #6456
Street 8325 BAYMEADOWS RD
City JACKSONVILLE
State FL
ZIP 32256
Phone 904 733-6254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Pharmacy
Lab Director JIGAR PATEL

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