11D2282018 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04261

Home > CLIA Lookup > 11D2282018

Laboratory Demographics

CLIA Number: 11D2282018

Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04261

Facility Address:
2055 EAST VICTORY DRIVE
SAVANNAH, GA
ZIP 31404
Get Directions

Facility Phone Number: 912 352-0303

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1124121876

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	11D2282018
LAB Type	Pharmacy
Facility Name	GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04261
Street	2055 EAST VICTORY DRIVE
City	SAVANNAH
State	GA
ZIP	31404
Phone	912 352-0303
CertificateType	4
CertificateEffectiveDate	5/16/2023
CertificateExpirationDate	5/15/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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