11D2281114 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #03687

Laboratory Demographics

  • CLIA Code: 11D2281114
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #03687
  • Facility Address: 1295 POWDER SPRINGS ROAD
    MARIETTA, GA
    ZIP 30064
  • Facility Phone: 770 919-1281
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOYCE MENSAH
  • NPI Number: 1811090673
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2281114
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #03687
Street 1295 POWDER SPRINGS ROAD
City MARIETTA
State GA
ZIP 30064
Phone 770 919-1281
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 JOYCE MENSAH

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