10D2284534 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #4280

Laboratory Demographics

  • CLIA Code: 10D2284534
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #4280
  • Facility Address: 2324 SR 524
    COCOA, FL
    ZIP 32926
  • Facility Phone: 321 636-9335
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERRI VECCHIONE
  • NPI Number: 1083718944
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284534
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #4280
Street 2324 SR 524
City COCOA
State FL
ZIP 32926
Phone 321 636-9335
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 TERRI VECCHIONE

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