CLIA lab
CLIA 11D2042714: Walgreens #12107
Waynesboro, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2042714 belongs to Walgreens #12107 in Waynesboro, GA.
Certificate of Waiver, effective March 29, 2025, expires March 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
- March 29, 2025
- Certificate expiration
- March 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 19, 2012
- 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
- 11D2042714
- Lab name
- Walgreens #12107
- Address
- 400 S Liberty Street, Waynesboro, GA 30830
- Phone
- (706) 437-7877
- Fax
- (706) 437-7983
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 Waynesboro, GA
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- Brentwood Health Center By HarborviewCertificate of Waiver, Skilled nursing or nursing facility11D0646004
- Burke Co Emergency Management AgnecyCertificate of Waiver, Other11D0682282
- Burke County Public SchoolsCertificate of Waiver, School or student health service11D2266862
- Burke Hospital Company, LLCCertificate of Accreditation, Hospital11D0262626
- Clark Drug CompanyCertificate of Waiver, Pharmacy11D2208676
- Lhcg Clxv, LLC DBA Univ Home Hlth ServicesCertificate of Waiver, Home health agency11D0696329
- Map Waynesboro School Based Health ClinicCertificate of Waiver, Federally qualified health center11D2249792
- Map Waynesboro School Based Health ClinicCertificate of Waiver, Federally qualified health center11D2343685
- Medical Associates PlusCertificate of Waiver, Federally qualified health center11D0907693
Related
Questions
What is the CLIA number for Walgreens #12107 in Waynesboro?
11D2042714, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #12107 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2042714 expire?
The CMS file lists March 28, 2027 as the certificate expiration date; the certificate took effect March 29, 2025.