11D2281433 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04530

Laboratory Demographics

  • CLIA Code: 11D2281433
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04530
  • Facility Address: 2458 CANDLER ROAD
    DECATUR, GA
    ZIP 30032
  • Facility Phone: 404 284-9350
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM HILL
  • NPI Number: 1275636029
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2281433
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #04530
Street 2458 CANDLER ROAD
City DECATUR
State GA
ZIP 30032
Phone 404 284-9350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Pharmacy
Lab Director WILLIAM HILL

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