11D2281261 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2281261
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY
  • Facility Address: 603 CANTON HIGHWAY
    CUMMING, GA
    ZIP 30040
  • Facility Phone: 770 887-7771
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHINEZE MADUIKE
  • NPI Number: 1437252285
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2281261
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY
Street 603 CANTON HIGHWAY
City CUMMING
State GA
ZIP 30040
Phone 770 887-7771
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 CHINEZE MADUIKE

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