11D2282580 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07712

Laboratory Demographics

  • CLIA Code: 11D2282580
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07712
  • Facility Address: 4377 ATLANTA HWY
    LOGANVILLE, GA
    ZIP 30052
  • Facility Phone: 770 466-0109
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAWANDA MEERS
  • NPI Number: 1245333079
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2282580
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07712
Street 4377 ATLANTA HWY
City LOGANVILLE
State GA
ZIP 30052
Phone 770 466-0109
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Pharmacy
Lab Director LAWANDA MEERS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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