11D2281660 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #05351

Laboratory Demographics

CLIA Number: 11D2281660

Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #05351

Facility Address:
301 E MONTGOMERY CROSS ROAD
SAVANNAH, GA
ZIP 31406
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Facility Phone Number: 912 920-6884

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1437252251

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	11D2281660
LAB Type	Mobile Laboratory
Facility Name	GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #05351
Street	301 E MONTGOMERY CROSS ROAD
City	SAVANNAH
State	GA
ZIP	31406
Phone	912 920-6884
CertificateType	4
CertificateEffectiveDate	5/10/2023
CertificateExpirationDate	5/9/2025
FacilityType	Waiver

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