10D2284482 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #5853

Laboratory Demographics

  • CLIA Code: 10D2284482
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #5853
  • Facility Address: 13960 LANDSTAR BLVD
    ORLANDO, FL
    ZIP 32824
  • Facility Phone: 407 438-6850
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN MCCLELLAN
  • NPI Number: 1922102904
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2284482
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #5853
Street 13960 LANDSTAR BLVD
City ORLANDO
State FL
ZIP 32824
Phone 407 438-6850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Pharmacy
Lab Director JOHN MCCLELLAN

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