CLIA lab
CLIA 11D2255879: Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04589
Grovetown, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2255879 belongs to Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04589 in Grovetown, GA.
Certificate of Waiver, effective March 18, 2026, expires March 17, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 18, 2026
- Certificate expiration
- March 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 18, 2022
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2255879
- Lab name
- Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04589
- Address
- 869 Horizon South Parkway, Grovetown, GA 30813
- Phone
- (706) 651-0306
- Fax
- (706) 210-0292
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04589 in Grovetown?
11D2255879, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04589 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2255879 expire?
The CMS file lists March 17, 2028 as the certificate expiration date; the certificate took effect March 18, 2026.