CLIA lab
CLIA 11D2256767: Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04540
Lagrange, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2256767 belongs to Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04540 in Lagrange, GA.
Certificate of Waiver, effective March 28, 2026, expires March 27, 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 28, 2026
- Certificate expiration
- March 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 28, 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
- 11D2256767
- Lab name
- Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04540
- Address
- 1802 Roanoke Road, Lagrange, GA 30240
- Phone
- (866) 389-2727
- Fax
- (401) 652-1360
Annual test volume the lab reported
- Waived tests
- 1,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Apex Medical Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center11D2110521
- Children's Clinic, theCertificate of Compliance, Physician office11D0257514
- Crossroads Treatment Center of Lagrange, PCCertificate of Waiver, Other11D2090543
- DR Brent Brown and Associates IncorporatedCertificate of Waiver, Physician office11D1099649
- Dialysis Care Center Lagrange, LLCCertificate of Waiver, End stage renal disease dialysis facility11D2293284
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Related
Questions
What is the CLIA number for Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04540 in Lagrange?
11D2256767, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04540 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2256767 expire?
The CMS file lists March 27, 2028 as the certificate expiration date; the certificate took effect March 28, 2026.