10D2227824 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS PHARMACY #5439

Laboratory Demographics

  • CLIA Code: 10D2227824
  • Facility Name: HOLIDAY CVS LLC DBA CVS PHARMACY #5439
  • Facility Address: 15 E NEW HAVEN AVE
    MELBOURNE, FL
    ZIP 32901
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISITA ACKERMANN
  • NPI Number: 1821192741
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2227824
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS PHARMACY #5439
Street 15 E NEW HAVEN AVE
City MELBOURNE
State FL
ZIP 32901
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Pharmacy
Lab Director CHRISITA ACKERMANN

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