10D2284317 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #204

Laboratory Demographics

  • CLIA Code: 10D2284317
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #204
  • Facility Address: 5899 ORANGE BLOSSOM TRL
    ORLANDO, FL
    ZIP 32839
  • Facility Phone: 407 855-8426
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEBORAH REICHELSON
  • NPI Number: 1225132202
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284317
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #204
Street 5899 ORANGE BLOSSOM TRL
City ORLANDO
State FL
ZIP 32839
Phone 407 855-8426
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 DEBORAH REICHELSON

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