10D2188340 CLIA NUMBER - PINE HILLS DRUG INC

Laboratory Demographics

  • CLIA Code: 10D2188340
  • Facility Name: PINE HILLS DRUG INC
  • Facility Address: 5000 W COLONIAL DR, SUITE 100
    ORLANDO, FL
    ZIP 32808
  • Facility Phone: 407 291-1236
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHIMEZIRI MBIONWU
  • NPI Number: 1740089713
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2188340
LAB Type Pharmacy
Facility Name PINE HILLS DRUG INC
Street 5000 W COLONIAL DR, SUITE 100
City ORLANDO
State FL
ZIP 32808
Phone 407 291-1236
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Pharmacy
Lab Director CHIMEZIRI MBIONWU

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