CLIA lab

CLIA 10D2227081: Holiday CVS LLC DBA Cvs/Pharmacy #1811

Jacksonville Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D2227081 belongs to Holiday CVS LLC DBA Cvs/Pharmacy #1811 in Jacksonville Beach, FL.

Certificate of Waiver, effective June 8, 2025, expires June 7, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
June 8, 2025
Certificate expiration
June 7, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 8, 2021
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D2227081
Lab name
Holiday CVS LLC DBA Cvs/Pharmacy #1811
Address
1504 S 3rd St, Jacksonville Beach, FL 32250
Phone
(401) 765-1500
Fax
(401) 216-0351

Annual test volume the lab reported

Waived tests
4,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Holiday CVS LLC DBA Cvs/Pharmacy #1811 in Jacksonville Beach?

10D2227081, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Holiday CVS LLC DBA Cvs/Pharmacy #1811 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2227081 expire?

The CMS file lists June 7, 2027 as the certificate expiration date; the certificate took effect June 8, 2025.

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