11D2281088 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA/PHARMACY #02101

Laboratory Demographics

  • CLIA Code: 11D2281088
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA/PHARMACY #02101
  • Facility Address: 3010 HIGHWAY 124
    SNELLVILLE, GA
    ZIP 30039
  • Facility Phone: (770) 736-6601
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHVETAL PATEL
  • NPI Number: 1174627095
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2281088
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA/PHARMACY #02101
Street 3010 HIGHWAY 124
City SNELLVILLE
State GA
ZIP 30039
Phone 7707366601
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 SHVETAL PATEL

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This page was last updated on: 5/18/2026