CLIA lab
CLIA 11D2219565: Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04504
Sandy Springs, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2219565 belongs to Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04504 in Sandy Springs, 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
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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
- 11D2219565
- Lab name
- Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04504
- Address
- 6330 Roswell Road, Sandy Springs, GA 30328
- Phone
- (401) 770-6431
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.
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- Alliance Surgery Center at Sandy Springs, LLCCertificate of Waiver, Ambulatory surgery center11D2265955
- Ally Primary CareCertificate of Waiver, Physician office11D2282635
- Atlanta Center for Reconstructive FootCertificate of Waiver, Ambulatory surgery center11D0967217
- Atlanta Outpatient Surgery CenterCertificate of Waiver, Ambulatory surgery center11D0714882
- Atlanta Plus Primary CareCertificate of Waiver, Other11D2318311
- Avycare LLCCertificate of Waiver, Hospice11D2339439
- Calmitude Direct Primary Care LLCCertificate of Waiver, Physician office11D2342514
- Concentra Sandy Springs Urgent CareCertificate of Waiver, Physician office11D2041788
Related
Questions
What is the CLIA number for Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04504 in Sandy Springs?
11D2219565, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04504 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2219565 expire?
The CMS file lists April 5, 2027 as the certificate expiration date; the certificate took effect April 6, 2025.