11D2281826 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #08934

Laboratory Demographics

  • CLIA Code: 11D2281826
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #08934
  • Facility Address: 1870 HIGHWAY 81 EAST
    MCDONOUGH, GA
    ZIP 30252
  • Facility Phone: (678) 583-0097
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TANISHA COOPER
  • NPI Number: 1932407095
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2281826
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #08934
Street 1870 HIGHWAY 81 EAST
City MCDONOUGH
State GA
ZIP 30252
Phone 6785830097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director TANISHA COOPER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026