11D2282586 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #06012

Laboratory Demographics

  • CLIA Code: 11D2282586
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #06012
  • Facility Address: 51 SEVEN HILLS BLVD
    DALLAS, GA
    ZIP 30132
  • Facility Phone: 678 574-3032
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA STANLEY
  • NPI Number: 1679677512
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2282586
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #06012
Street 51 SEVEN HILLS BLVD
City DALLAS
State GA
ZIP 30132
Phone 678 574-3032
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 AMANDA STANLEY

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