CLIA lab
CLIA 11D2030137: Walgreens #10121
Jasper, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2030137 belongs to Walgreens #10121 in Jasper, GA.
Certificate of Waiver, effective April 16, 2025, expires April 15, 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 16, 2025
- Certificate expiration
- April 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 22, 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
- 11D2030137
- Lab name
- Walgreens #10121
- Address
- 199 E Church Street, Jasper, GA 30143
- Phone
- (706) 253-9237
- Fax
- (706) 253-9241
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.
Other labs in Jasper, GA
- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2318645
- Airlife ThreeCertificate of Waiver, Ambulance11D2020272
- Amedisys Northwest, LLCCertificate of Waiver, Home health agency11D0695853
- Appalachian Hospice South, LLCCertificate of Waiver, Hospice11D2288607
- Aqua Dermatology of Georgia, PCCertificate of Waiver, Physician office11D2348693
- Big Canoe Public SafetyCertificate of Waiver, Other11D2198893
- City of Jasper Fire DepartmentCertificate of Waiver, Other11D2288324
- Digestive Healthcare of GeorgiaCertificate of Waiver, Physician office11D2120245
- Digestive Healthcare of Georgia Endoscopy CenterCertificate of Waiver, Ambulatory surgery center11D1091226
- Dragon Care/ Good Samaritan HealthCertificate of Waiver, Federally qualified health center11D2328077
Related
Questions
What is the CLIA number for Walgreens #10121 in Jasper?
11D2030137, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #10121 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2030137 expire?
The CMS file lists April 15, 2027 as the certificate expiration date; the certificate took effect April 16, 2025.