10D2284312 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #0280

Laboratory Demographics

  • CLIA Code: 10D2284312
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #0280
  • Facility Address: 2527 ALOMA AVE
    WINTER PARK, FL
    ZIP 32792
  • Facility Phone: 407 678-5151
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MENA ELASSAL
  • NPI Number: 1861596843
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284312
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #0280
Street 2527 ALOMA AVE
City WINTER PARK
State FL
ZIP 32792
Phone 407 678-5151
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 MENA ELASSAL

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