10D2222443 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #5150

Laboratory Demographics

  • CLIA Code: 10D2222443
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #5150
  • Facility Address: 1030 LOCKWOOD BLVD
    OVIEDO, FL
    ZIP 32765
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANISH SHAH
  • NPI Number: 1164445466
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2222443
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #5150
Street 1030 LOCKWOOD BLVD
City OVIEDO
State FL
ZIP 32765
Phone 401 770-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Pharmacy
Lab Director MANISH SHAH

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