CLIA lab
CLIA 10D2221949: Holiday CVS LLC DBA Cvs/Pharmacy #5226
Summerfield, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2221949 belongs to Holiday CVS LLC DBA Cvs/Pharmacy #5226 in Summerfield, FL.
Certificate of Waiver, effective April 26, 2025, expires April 25, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 26, 2025
- Certificate expiration
- April 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 26, 2021
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D2221949
- Lab name
- Holiday CVS LLC DBA Cvs/Pharmacy #5226
- Address
- 17817 SE 109th Ave, Summerfield, FL 34491
- Phone
- (352) 347-6616
- Fax
- (401) 216-0351
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Delcare PACertificate of Accreditation, Physician office10D2013403
- Executive Diagnostics LLCCertificate of Waiver, Mobile lab10D2347379
- Florida Medical Associates LLC DBA Vip CareCertificate of Waiver, Physician office10D2295959
- Gastroenterology AssociatesCertificate of Waiver, Physician office10D1022153
- HC Summerfield FL, LLCCertificate of Waiver, Assisted living facility10D2230932
- HCA Florida Summerfield Emergency A Part of HCACertificate of Accreditation, Other practitioner10D2117324
- Kmed LLCCertificate of Waiver, Physician office10D2233483
Related
Questions
What is the CLIA number for Holiday CVS LLC DBA Cvs/Pharmacy #5226 in Summerfield?
10D2221949, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Holiday CVS LLC DBA Cvs/Pharmacy #5226 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2221949 expire?
The CMS file lists April 25, 2027 as the certificate expiration date; the certificate took effect April 26, 2025.