11D2255733 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04206

Laboratory Demographics

  • CLIA Code: 11D2255733
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04206
  • Facility Address: 2700 OSBORNE ROAD
    SAINT MARYS, GA
    ZIP 31558
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CINDY CAMBRON
  • NPI Number: 1427151265
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2255733
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04206
Street 2700 OSBORNE ROAD
City SAINT MARYS
State GA
ZIP 31558
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Pharmacy
Lab Director CINDY CAMBRON

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