11D2282473 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC CVS/PHARMACY #02081

Laboratory Demographics

  • CLIA Code: 11D2282473
  • Facility Name: GEORGIA CVS PHARMACY, LLC CVS/PHARMACY #02081
  • Facility Address: 8430 HOLCOMB BRIDGE ROAD
    ALPHARETTA, GA
    ZIP 30022
  • Facility Phone: 770 640-6576
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROGER INGRAM
  • NPI Number: 1891899712
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2282473
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC CVS/PHARMACY #02081
Street 8430 HOLCOMB BRIDGE ROAD
City ALPHARETTA
State GA
ZIP 30022
Phone 770 640-6576
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Pharmacy
Lab Director ROGER INGRAM

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