11D2281981 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04671

Laboratory Demographics

  • CLIA Code: 11D2281981
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04671
  • Facility Address: 3127 MACON ROAD
    COLUMBUS, GA
    ZIP 31906
  • Facility Phone: (706) 563-4502
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHELDON SMITH
  • NPI Number: 1720181571
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2281981
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04671
Street 3127 MACON ROAD
City COLUMBUS
State GA
ZIP 31906
Phone 7065634502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Pharmacy
Lab Director SHELDON SMITH

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