10D2187083 CLIA NUMBER - HOLIDAY CVS LLC DBA CVSPHARMACY #5155

Laboratory Demographics

  • CLIA Code: 10D2187083
  • Facility Name: HOLIDAY CVS LLC DBA CVSPHARMACY #5155
  • Facility Address: 9975 LAKE UNDERHILL RD
    ORLANDO, FL
    ZIP 32825
  • Facility Phone: 407 207-7944
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: UPENDRA PATEL
  • NPI Number: 1013011972
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2187083
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVSPHARMACY #5155
Street 9975 LAKE UNDERHILL RD
City ORLANDO
State FL
ZIP 32825
Phone 407 207-7944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Pharmacy
Lab Director UPENDRA PATEL

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