CLIA lab
CLIA 11D2034605: Walgreens #11661
Douglas, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2034605 belongs to Walgreens #11661 in Douglas, GA.
Certificate of Waiver, effective July 14, 2025, expires July 13, 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 14, 2025
- Certificate expiration
- July 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 29, 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
- 11D2034605
- Lab name
- Walgreens #11661
- Address
- 602 Peterson Avenue, S, Douglas, GA 31533
- Phone
- (912) 260-1198
- Fax
- (912) 393-1839
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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Related
Questions
What is the CLIA number for Walgreens #11661 in Douglas?
11D2034605, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #11661 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2034605 expire?
The CMS file lists July 13, 2027 as the certificate expiration date; the certificate took effect July 14, 2025.