CLIA lab
CLIA 11D2034342: Walgreen #9630
Union City, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2034342 belongs to Walgreen #9630 in Union City, GA.
Certificate of Waiver, effective July 29, 2025, expires July 28, 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
- July 29, 2025
- Certificate expiration
- July 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 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
- 11D2034342
- Lab name
- Walgreen #9630
- Address
- 4617 Jonesboro Road, Union City, GA 30291
- Phone
- (770) 969-7458
- Fax
- (770) 969-9586
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 Union City, GA
- Concentra Medical Centers-Union CityCertificate of Waiver, Physician office11D2326270
- Country Gardens Senior Living, LLCCertificate of Waiver, Blood bank11D2110080
- Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #05725Certificate of Waiver, Pharmacy11D2255758
- Grady - South Free Standing Emergency DepartmentCertificate of Registration, Hospital11D2344367
- Harmony Haven Hospice & Palliative CareCertificate of Waiver, Hospice11D2338139
- Kroger Pharmacy #247Certificate of Waiver, Pharmacy11D2099033
- Naphcare, Inc at South Fulton County JailCertificate of Waiver, Other11D2146644
- Oaks - Christian City Assisted Living, LLC, theCertificate of Waiver, Assisted living facility11D0974934
- Priority Toxicology LaboratoriesCertificate of Compliance, Independent11D2108401
- Pruitt Health-Christian City, LLCCertificate of Waiver, Skilled nursing or nursing facility11D0714692
Related
Questions
What is the CLIA number for Walgreen #9630 in Union City?
11D2034342, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreen #9630 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2034342 expire?
The CMS file lists July 28, 2027 as the certificate expiration date; the certificate took effect July 29, 2025.