11D2281116 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/ PHARMACY #03798

Laboratory Demographics

  • CLIA Code: 11D2281116
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/ PHARMACY #03798
  • Facility Address: 549 N MAIN STREET
    CORNELIA, GA
    ZIP 30531
  • Facility Phone: 706 778-5097
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHALET CONRAD
  • NPI Number: 1588767248
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2281116
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/ PHARMACY #03798
Street 549 N MAIN STREET
City CORNELIA
State GA
ZIP 30531
Phone 706 778-5097
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 CHALET CONRAD

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