11D2219584 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07745

Laboratory Demographics

  • CLIA Code: 11D2219584
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07745
  • Facility Address: 6945 NASHVILLE STREET
    RINGGOLD, GA
    ZIP 30736
  • Facility Phone: (401) 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNEY KONWICK
  • NPI Number: 1073616892
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2219584
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07745
Street 6945 NASHVILLE STREET
City RINGGOLD
State GA
ZIP 30736
Phone 4017706431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director COURTNEY KONWICK

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This page was last updated on: 5/18/2026