11D2223522 CLIA NUMBER - GEORGIA CVS PHARMACY,LLC DBA CVS/PHARMACY #05731

Laboratory Demographics

  • CLIA Code: 11D2223522
  • Facility Name: GEORGIA CVS PHARMACY,LLC DBA CVS/PHARMACY #05731
  • Facility Address: 3221 PEACHTREE ROAD NE
    ATLANTA, GA
    ZIP 30305
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADWOA ATAKORA
  • NPI Number: 1568605400
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2223522
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY,LLC DBA CVS/PHARMACY #05731
Street 3221 PEACHTREE ROAD NE
City ATLANTA
State GA
ZIP 30305
Phone 866 389-2727
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 ADWOA ATAKORA

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