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

Laboratory Demographics

CLIA Number: 11D2281259

Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #01374

Facility Address:
800 HIGHWAY 96
WARNER ROBINS, GA
ZIP 31088
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Facility Phone Number: 478 987-5055

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1023152188

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType	4
CertificateEffectiveDate	5/4/2023
CertificateExpirationDate	5/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024