11D2282585 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07504

Laboratory Demographics

  • CLIA Code: 11D2282585
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07504
  • Facility Address: 4585 HARTLEY BRIDGE ROAD
    MACON, GA
    ZIP 31216
  • Facility Phone: 478 781-9818
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLISON ROSS
  • NPI Number: 1295980456
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2282585
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #07504
Street 4585 HARTLEY BRIDGE ROAD
City MACON
State GA
ZIP 31216
Phone 478 781-9818
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 ALLISON ROSS

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