CLIA lab
CLIA 11D2028571: Walgreens #9629
Loganville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2028571 belongs to Walgreens #9629 in Loganville, GA.
Certificate of Waiver, effective March 22, 2025, expires March 21, 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
- March 22, 2025
- Certificate expiration
- March 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 19, 2011
- 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
- 11D2028571
- Lab name
- Walgreens #9629
- Address
- 4398 Atlanta Highway, Loganville, GA 30052
- Phone
- (678) 639-0213
- Fax
- (678) 639-1547
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Angelic Clinical Services, LLCCertificate of Waiver, Other practitioner11D2138442
- Athens Orthopedic ClinicCertificate of Waiver, Ambulatory surgery center11D2122977
- Athens Orthopedic Clinic - Loganville MriCertificate of Waiver, Other11D2164240
- Atlanta Medical Aesthetic CTR IncCertificate of Waiver, Physician office11D2026951
- Carr Medical Group PCCertificate for Provider-Performed Microscopy Procedures, Physician office11D1008264
- Christ the King HealthcareCertificate of Waiver, Physician office11D1104864
- David A Fields MD Family Care PCCertificate of Waiver, Physician office11D0919865
- FP- Peachtree Immediate Care-LgnCertificate of Waiver, Physician office11D2222062
Related
Questions
What is the CLIA number for Walgreens #9629 in Loganville?
11D2028571, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #9629 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2028571 expire?
The CMS file lists March 21, 2027 as the certificate expiration date; the certificate took effect March 22, 2025.