11D2162110 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 11D2162110
  • Facility Name: GEORGIA CVS PHARMACY, LLC
  • Facility Address: 2907 MAIN STREET
    EAST POINT, GA
    ZIP 30344
  • Facility Phone: 404 763-8405
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIARA CRIBB
  • NPI Number: 1265535025
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2162110
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC
Street 2907 MAIN STREET
City EAST POINT
State GA
ZIP 30344
Phone 404 763-8405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Pharmacy
Lab Director KIARA CRIBB

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