10D2284344 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #4344

Laboratory Demographics

  • CLIA Code: 10D2284344
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #4344
  • Facility Address: 2672 BLANDING BLVD
    MIDDLEBURG, FL
    ZIP 32068
  • Facility Phone: 904 282-3828
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY FOLTZ
  • NPI Number: 1831293786
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284344
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #4344
Street 2672 BLANDING BLVD
City MIDDLEBURG
State FL
ZIP 32068
Phone 904 282-3828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Pharmacy
Lab Director ASHLEY FOLTZ

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