10D2285524 CLIA NUMBER - HOLIDAY CVS LLC DBA CVS/PHARMACY #3141

Laboratory Demographics

  • CLIA Code: 10D2285524
  • Facility Name: HOLIDAY CVS LLC DBA CVS/PHARMACY #3141
  • Facility Address: 5190 S CONWAY RD
    ORLANDO, FL
    ZIP 32812
  • Facility Phone: 407 851-2140
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MONA ITANI
  • NPI Number: 1306940291
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2285524
LAB Type Pharmacy
Facility Name HOLIDAY CVS LLC DBA CVS/PHARMACY #3141
Street 5190 S CONWAY RD
City ORLANDO
State FL
ZIP 32812
Phone 407 851-2140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director MONA ITANI

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