CLIA lab
CLIA 11D2282541: Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04709
Fairburn, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2282541 belongs to Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04709 in Fairburn, GA.
Certificate of Waiver, effective May 23, 2025, expires May 22, 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
- May 23, 2025
- Certificate expiration
- May 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 23, 2023
- 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
- 11D2282541
- Lab name
- Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04709
- Address
- 77 Hudson Plaza, Fairburn, GA 30213
- Phone
- (770) 964-7167
- Fax
- (401) 216-0351
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fairburn, GA
- City of Fairburn Fire DepartmentCertificate of Waiver, Other11D2297543
- Fairburn HeightsCertificate of Waiver, Skilled nursing or nursing facility11D0257191
- Piedmont Urgent Care By WellstreetCertificate of Waiver, Other11D2219428
- Pruitt Health-FairburnCertificate of Waiver, Skilled nursing or nursing facility11D0707093
- Specimens IncCertificate of Waiver, Independent11D2252242
- Undeniable HealthcareCertificate of Waiver, Physician office11D2252563
Related
Questions
What is the CLIA number for Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04709 in Fairburn?
11D2282541, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04709 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2282541 expire?
The CMS file lists May 22, 2027 as the certificate expiration date; the certificate took effect May 23, 2025.