10D2223073 CLIA NUMBER - HOLIDAY CVS, LLC DBA CVS/PHARMACY #1314

Laboratory Demographics

  • CLIA Code: 10D2223073
  • Facility Name: HOLIDAY CVS, LLC DBA CVS/PHARMACY #1314
  • Facility Address: 1201 E COLONIAL DR
    ORLANDO, FL
    ZIP 32803
  • Facility Phone: 407 894-1521
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GABRIELLE JOHANNESSEN
  • NPI Number: 1982626529
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2223073
LAB Type Pharmacy
Facility Name HOLIDAY CVS, LLC DBA CVS/PHARMACY #1314
Street 1201 E COLONIAL DR
City ORLANDO
State FL
ZIP 32803
Phone 407 894-1521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director GABRIELLE JOHANNESSEN

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