10D2259077 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #3115

Laboratory Demographics

  • CLIA Code: 10D2259077
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #3115
  • Facility Address: 615 E 3RD AVE
    NEW SMYRNA BEACH, FL
    ZIP 32169
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHAWN COATS
  • NPI Number: 1467556357
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2259077
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #3115
Street 615 E 3RD AVE
City NEW SMYRNA BEACH
State FL
ZIP 32169
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 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Pharmacy
Lab Director SHAWN COATS

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