11D2281827 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #08395

Laboratory Demographics

  • CLIA Code: 11D2281827
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #08395
  • Facility Address: 2720 HIGHWAY 42 NORTH
    MCDONOUGH, GA
    ZIP 30253
  • Facility Phone: 678 432-9450
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAADIA QADEER
  • NPI Number: 1215010376
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2281827
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #08395
Street 2720 HIGHWAY 42 NORTH
City MCDONOUGH
State GA
ZIP 30253
Phone 678 432-9450
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 SAADIA QADEER

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