CLIA lab
CLIA 11D2219421: Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04618
Lilburn, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2219421 belongs to Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04618 in Lilburn, GA.
Certificate of Waiver, effective April 6, 2025, expires April 5, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 6, 2025
- Certificate expiration
- April 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 6, 2021
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2219421
- Lab name
- Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04618
- Address
- 4860 Stone Mountain Highway, Lilburn, GA 30047
- Phone
- (401) 770-6431
- Fax
- (401) 216-0381
Annual test volume the lab reported
- Waived tests
- 13,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lilburn, GA
- Aaron J Hupman MDCertificate of Waiver, Physician office11D0257735
- Atlanta Gynecology & Obstetrics PCCertificate for Provider-Performed Microscopy Procedures, Physician office11D0257551
- Atlanta Plus Urgent Care LLCCertificate of Waiver, Other11D2186656
- Clinica Familiar Vida Y SaludCertificate of Waiver, Physician office11D2282392
- Clinica Medica Lilburn LLCCertificate of Waiver, Physician office11D2209561
- Consultorio Medico Familiar IncCertificate of Waiver, Physician office11D2303727
- Dot Medical Exams 4 U LLCCertificate of Waiver, Other practitioner11D2332931
- Dukes Medical Transport LLCCertificate of Waiver, Ambulance11D2278493
- Emory Adult Day Health CareCertificate of Waiver, Other11D2012884
- Emory at Beaver RuinCertificate of Waiver, Physician office11D0926679
Related
Questions
What is the CLIA number for Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04618 in Lilburn?
11D2219421, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04618 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2219421 expire?
The CMS file lists April 5, 2027 as the certificate expiration date; the certificate took effect April 6, 2025.