11D2281087 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #02088

Laboratory Demographics

  • CLIA Code: 11D2281087
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #02088
  • Facility Address: 6716 MT ZION BOULEVARD
    MORROW, GA
    ZIP 30260
  • Facility Phone: 770 960-0600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GEORGE JACKSON
  • NPI Number: 1730286212
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2281087
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #02088
Street 6716 MT ZION BOULEVARD
City MORROW
State GA
ZIP 30260
Phone 770 960-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Pharmacy
Lab Director GEORGE JACKSON

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