11D2223499 CLIA NUMBER - GEORGIA CVS PHARMACY,LLC DBA CVS/PHARMACY #04147

Laboratory Demographics

  • CLIA Code: 11D2223499
  • Facility Name: GEORGIA CVS PHARMACY,LLC DBA CVS/PHARMACY #04147
  • Facility Address: 5815 CAMPBELLTON ROAD
    ATLANTA, GA
    ZIP 30331
  • Facility Phone: (866) 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT EJIKE

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CLIA Record

Field Name Field Value
CLIA Number 11D2223499
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY,LLC DBA CVS/PHARMACY #04147
Street 5815 CAMPBELLTON ROAD
City ATLANTA
State GA
ZIP 30331
Phone 8663892727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Pharmacy
Lab Director ROBERT EJIKE

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This page was last updated on: 5/15/2026