11D2281513 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04674

Laboratory Demographics

  • CLIA Code: 11D2281513
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04674
  • Facility Address: 7042 MOON ROAD
    COLUMBUS, GA
    ZIP 31909
  • Facility Phone: 706 653-2923
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREN BATTS
  • NPI Number: 1548363393
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2281513
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04674
Street 7042 MOON ROAD
City COLUMBUS
State GA
ZIP 31909
Phone 706 653-2923
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Pharmacy
Lab Director LAUREN BATTS

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