11D2281537 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA/PHARMACY #02107

Laboratory Demographics

  • CLIA Code: 11D2281537
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA/PHARMACY #02107
  • Facility Address: 3051 SANDY PLAINS ROAD
    MARIETTA, GA
    ZIP 30066
  • Facility Phone: 770 977-7661
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WESLEY FISCHER
  • NPI Number: 1356445274
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2281537
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA/PHARMACY #02107
Street 3051 SANDY PLAINS ROAD
City MARIETTA
State GA
ZIP 30066
Phone 770 977-7661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Pharmacy
Lab Director WESLEY FISCHER

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