CLIA lab
CLIA 11D2034219: Walgreen#12147
Dacula, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2034219 belongs to Walgreen#12147 in Dacula, GA.
Certificate of Waiver, effective October 27, 2026, expires October 26, 2028.
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
- October 27, 2026
- Certificate expiration
- October 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 20, 2011
- Facility type
- Other
- 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
- 11D2034219
- Lab name
- Walgreen#12147
- Address
- 575 Dacula Road, Dacula, GA 30019
- Phone
- (770) 547-6508
Annual test volume the lab reported
- Waived tests
- 58,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Walgreen#12147 in Dacula?
11D2034219, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreen#12147 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2034219 expire?
The CMS file lists October 26, 2028 as the certificate expiration date; the certificate took effect October 27, 2026.