11D2282485 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #08424

Laboratory Demographics

  • CLIA Code: 11D2282485
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #08424
  • Facility Address: 6201 LAKE OCONEE PARKWAY
    GREENSBORO, GA
    ZIP 30642
  • Facility Phone: 706 453-9094
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNEY FREEMAN
  • NPI Number: 1851495790
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2282485
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #08424
Street 6201 LAKE OCONEE PARKWAY
City GREENSBORO
State GA
ZIP 30642
Phone 706 453-9094
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 COURTNEY FREEMAN

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