10D2284530 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #3757

Laboratory Demographics

  • CLIA Code: 10D2284530
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #3757
  • Facility Address: 1401 DUTCH ELM DRIVE
    ALTAMONTE SPRINGS, FL
    ZIP 32714
  • Facility Phone: 407 291-4198
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEVIN MOBERG
  • NPI Number: 1831293745
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284530
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #3757
Street 1401 DUTCH ELM DRIVE
City ALTAMONTE SPRINGS
State FL
ZIP 32714
Phone 407 291-4198
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Pharmacy
Lab Director DEVIN MOBERG

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