11D2281437 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04545

Laboratory Demographics

  • CLIA Code: 11D2281437
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04545
  • Facility Address: 1615 FOREST HILL ROAD
    MACON, GA
    ZIP 31210
  • Facility Phone: 478 477-6648
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RENU PATEL
  • NPI Number: 1124121884
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2281437
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04545
Street 1615 FOREST HILL ROAD
City MACON
State GA
ZIP 31210
Phone 478 477-6648
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Pharmacy
Lab Director RENU PATEL

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