CLIA lab

CLIA 11D2119402: Walmart Pharmacy 10-1293

Augusta, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2119402 belongs to Walmart Pharmacy 10-1293 in Augusta, GA.

Certificate of Waiver, effective September 27, 2026, expires September 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
September 27, 2026
Certificate expiration
September 26, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 27, 2016
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
11D2119402
Lab name
Walmart Pharmacy 10-1293
Address
3209 Deans Bridge Road, Augusta, GA 30906
Phone
(706) 796-7754
Fax
(706) 796-7818

Annual test volume the lab reported

Waived tests
5,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Augusta, GA

Related

Questions

What is the CLIA number for Walmart Pharmacy 10-1293 in Augusta?

11D2119402, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-1293 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2119402 expire?

The CMS file lists September 26, 2028 as the certificate expiration date; the certificate took effect September 27, 2026.

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