11D2255880 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04595

Laboratory Demographics

  • CLIA Code: 11D2255880
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04595
  • Facility Address: 7550 COVINGTON HIGHWAY
    LITHONIA, GA
    ZIP 30058
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICTOR KAREEM
  • NPI Number: 1750484416
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2255880
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04595
Street 7550 COVINGTON HIGHWAY
City LITHONIA
State GA
ZIP 30058
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 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Pharmacy
Lab Director VICTOR KAREEM

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