10D2242638 CLIA NUMBER - VMSA LLC

Laboratory Demographics

  • CLIA Code: 10D2242638
  • Facility Name: VMSA LLC
  • Facility Address: 1028 E OSCEOLA PARKWY
    KISSIMMEE, FL
    ZIP 34744
  • Facility Phone: 407 483-7093
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAIF MOWWAD
  • NPI Number: 1386219822
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2242638
LAB Type Pharmacy
Facility Name VMSA LLC
Street 1028 E OSCEOLA PARKWY
City KISSIMMEE
State FL
ZIP 34744
Phone 407 483-7093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Pharmacy
Lab Director RAIF MOWWAD

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