11D2282547 CLIA NUMBER - GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #02083

Laboratory Demographics

  • CLIA Code: 11D2282547
  • Facility Name: GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #02083
  • Facility Address: 3439 ASHFORD DUNWOODY ROAD, NE
    BROOKHAVEN, GA
    ZIP 30319
  • Facility Phone: 770 216-8605
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN COOLE
  • NPI Number: 1538263454
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2282547
LAB Type Pharmacy
Facility Name GEORGIA CVS PHARMACY, LLC DBA CVS/PHARMACY #02083
Street 3439 ASHFORD DUNWOODY ROAD, NE
City BROOKHAVEN
State GA
ZIP 30319
Phone 770 216-8605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Pharmacy
Lab Director MEGAN COOLE

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