11D2281259 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #01374

Laboratory Demographics

  • CLIA Code: 11D2281259
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #01374
  • Facility Address: 800 HIGHWAY 96
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 478 987-5055
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CONNIE THOMPSON-WALKER
  • NPI Number: 1023152188
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2281259
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #01374
Street 800 HIGHWAY 96
City WARNER ROBINS
State GA
ZIP 31088
Phone 478 987-5055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director CONNIE THOMPSON-WALKER

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