CLIA lab
CLIA 11D2119562: Wal-Mart Stores East, LP
Forsyth, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2119562 belongs to Wal-Mart Stores East, LP in Forsyth, GA.
Certificate of Waiver, effective September 29, 2026, expires September 28, 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 29, 2026
- Certificate expiration
- September 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 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
- 11D2119562
- Lab name
- Wal-Mart Stores East, LP
- Additional name
- DBA Wal-Mart Pharmacy #10-0907
- Address
- 180 N Lee Street, Forsyth, GA 31029
- Phone
- (479) 268-7034
- Fax
- (479) 204-0980
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 Forsyth, GA
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- Burruss Correctional Training CenterCertificate of Waiver, Prison11D2244534
- Careconnect Convenient CareCertificate of Waiver, Federally qualified health center11D2178630
- Dialysis Center of Forsyth LLCCertificate of Waiver, End stage renal disease dialysis facility11D2136120
- Dsi Macon, LLCCertificate of Waiver, End stage renal disease dialysis facility11D0957936
- Field Foot and AnkleCertificate of Waiver, Physician office11D2061022
- Georgia Dermatology & Skin Cancer Center, LLCCertificate for Provider-Performed Microscopy Procedures, Physician office11D0928734
- Ingles Maarkets, Inc (Ingles Pharmacy #403)Certificate of Waiver, Pharmacy11D2336500
- Internal Medicine Associates of Middle GeorgiaCertificate of Waiver, Physician office11D0263537
- Monroe County Emergency ServicesCertificate of Waiver, Ambulance11D2259889
Related
Questions
What is the CLIA number for Wal-Mart Stores East, LP in Forsyth?
11D2119562, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wal-Mart Stores East, LP hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2119562 expire?
The CMS file lists September 28, 2028 as the certificate expiration date; the certificate took effect September 29, 2026.