CLIA lab
CLIA 11D2034161: Walgreens 09452
Mableton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2034161 belongs to Walgreens 09452 in Mableton, GA.
Certificate of Waiver, effective August 16, 2025, expires August 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
- August 16, 2025
- Certificate expiration
- August 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 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
- 11D2034161
- Lab name
- Walgreens 09452
- Address
- 855 Veterans Memorial Highway, SE, Mableton, GA 30126
- Phone
- (770) 819-7869
- Fax
- (770) 819-8395
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 Mableton, GA
- Bernard Orewa MD PCCertificate of Waiver, Physician office11D1065134
- Core Diagnostics Lab LLCCertificate of Waiver, Mobile lab11D2340254
- FP- Peachtree Immediate Care- MabCertificate of Waiver, Physician office11D2119970
- Georgia CVS Pharmacy, LLCCertificate of Waiver, Pharmacy11D2281754
- Grupo Medico De GeorgiaCertificate of Waiver, Physician office11D2211580
- His Hands Family Practice Clinic LLCCertificate of Waiver, Physician office11D2235961
- Just One Drop LLCCertificate of Waiver, Ancillary test site11D2322659
- Kroger Pharmacy #464Certificate of Waiver, Pharmacy11D2098312
- Med Pro Point of Care Mobile ServicesCertificate of Waiver, Mobile lab11D2338942
- Moore Diagnostic Laboratory, IncCertificate of Waiver, Independent11D2195983
Related
Questions
What is the CLIA number for Walgreens 09452 in Mableton?
11D2034161, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens 09452 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2034161 expire?
The CMS file lists August 15, 2027 as the certificate expiration date; the certificate took effect August 16, 2025.