10D2148566 CLIA NUMBER - MOUNT DORA RX PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 10D2148566
  • Facility Name: MOUNT DORA RX PHARMACY LLC
  • Facility Address: 461 PLAZA DRIVE
    EUSTIS, FL
    ZIP 32726
  • Facility Phone: 352 729-6557
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRABIR SAHA
  • NPI Number: 1164193108
  • Taxonomy: 3336L0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2148566
LAB Type Pharmacy
Facility Name MOUNT DORA RX PHARMACY LLC
Street 461 PLAZA DRIVE
City EUSTIS
State FL
ZIP 32726
Phone 352 729-6557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Pharmacy
Lab Director PRABIR SAHA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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