11D2281085 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #02084

Laboratory Demographics

  • CLIA Code: 11D2281085
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #02084
  • Facility Address: 5575 LAWRENCEVILLE HIGHWAY
    LILBURN, GA
    ZIP 30047
  • Facility Phone: 770 935-4959
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AROS MAHMUD
  • NPI Number: 1275637191
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2281085
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #02084
Street 5575 LAWRENCEVILLE HIGHWAY
City LILBURN
State GA
ZIP 30047
Phone 770 935-4959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Pharmacy
Lab Director AROS MAHMUD

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