11D2282475 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC CVS/PHARMACY #00945

Laboratory Demographics

  • CLIA Code: 11D2282475
  • Facility Name: GEORGIA CVS PHARMACY, LLC CVS/PHARMACY #00945
  • Facility Address: 1044 FURYS FERRY
    EVANS, GA
    ZIP 30809
  • Facility Phone: 706 860-3945
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA GARNER
  • NPI Number: 1700069275
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2282475
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC CVS/PHARMACY #00945
Street 1044 FURYS FERRY
City EVANS
State GA
ZIP 30809
Phone 706 860-3945
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Pharmacy
Lab Director JESSICA GARNER

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