11D2281098 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #03086

Laboratory Demographics

  • CLIA Code: 11D2281098
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #03086
  • Facility Address: 1162 WEST AVENUE
    CARTERSVILLE, GA
    ZIP 30120
  • Facility Phone: 770 606-1260
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA JACOBS
  • NPI Number: 1518296318
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2281098
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #03086
Street 1162 WEST AVENUE
City CARTERSVILLE
State GA
ZIP 30120
Phone 770 606-1260
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 LAURA JACOBS

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