10D2284306 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #5901

Laboratory Demographics

  • CLIA Code: 10D2284306
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #5901
  • Facility Address: 7001 OLD WINTER GARDEN RD
    ORLANDO, FL
    ZIP 32835
  • Facility Phone: 407 253-2917
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD CARTER
  • NPI Number: 1215031190
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284306
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #5901
Street 7001 OLD WINTER GARDEN RD
City ORLANDO
State FL
ZIP 32835
Phone 407 253-2917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Pharmacy
Lab Director RICHARD CARTER

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This page was last updated on: 6/4/2025