10D2284541 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #5195

Laboratory Demographics

  • CLIA Code: 10D2284541
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #5195
  • Facility Address: 4639 W 1ST ST
    SANFORD, FL
    ZIP 32771
  • Facility Phone: 407 688-0828
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KALIND PRADHAN
  • NPI Number: 1891899761
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2284541
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #5195
Street 4639 W 1ST ST
City SANFORD
State FL
ZIP 32771
Phone 407 688-0828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Pharmacy
Lab Director KALIND PRADHAN

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