CLIA lab
CLIA 11D2281547: Georgia CVS Pharmacy, LLC
Jefferson, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2281547 belongs to Georgia CVS Pharmacy, LLC in Jefferson, GA.
Certificate of Waiver, effective May 9, 2025, expires May 8, 2027.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 9, 2025
- Certificate expiration
- May 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 9, 2023
- 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
- 11D2281547
- Lab name
- Georgia CVS Pharmacy, LLC
- Additional name
- DBA Cvs/Pharmacy #04164
- Address
- 1680 Old Pendergrass Road, Jefferson, GA 30549
- Phone
- (706) 367-9201
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.
Other labs in Jefferson, GA
- Ball PediatricsCertificate of Waiver, Physician office11D2327052
- Bart Richards DO Family MedicineCertificate of Waiver, Physician office11D0993603
- Exacta Medical ResearchCertificate of Waiver, Other11D2344806
- Jackson County Emergency ServicesCertificate of Waiver, Ambulance11D2202968
- Jackson County JailCertificate of Waiver, Other11D2276511
- Jackson County School SystemCertificate of Waiver, School or student health service11D2286159
- Jefferson City SchoolsCertificate of Waiver, School or student health service11D2265492
- Jefferson DrugsCertificate of Waiver, Pharmacy11D2184309
- Jefferson Pediatrics IncCertificate of Compliance, Physician office11D0954160
- Kroger Pharmacy #011-638Certificate of Waiver, Pharmacy11D1066586
Related
Questions
What is the CLIA number for Georgia CVS Pharmacy, LLC in Jefferson?
11D2281547, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Georgia CVS Pharmacy, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2281547 expire?
The CMS file lists May 8, 2027 as the certificate expiration date; the certificate took effect May 9, 2025.