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11D2282796 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #03348

Laboratory Demographics

CLIA Number: 11D2282796

Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #03348

Facility Address:
1800 BRUNSWICK HWY
WAYCROSS, GA
ZIP 31501
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Facility Phone Number: 912 285-2171

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1699095869

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 11D2282796
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #03348
Street 1800 BRUNSWICK HWY
City WAYCROSS
State GA
ZIP 31501
Phone 912 285-2171
CertificateType 4
CertificateEffectiveDate 5/25/2023
CertificateExpirationDate 5/24/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024