11D2255753 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #03874

Laboratory Demographics

  • CLIA Code: 11D2255753
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #03874
  • Facility Address: 3595 ATLANTA HIGHWAY
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANETTE SIPPER
  • NPI Number: 1801022918
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2255753
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #03874
Street 3595 ATLANTA HIGHWAY
City ATHENS
State GA
ZIP 30606
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 DANETTE SIPPER

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