CLIA lab

CLIA 11D2139130: Phi Walton

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

CLIA number 11D2139130 belongs to Phi Walton in Monroe, GA.

Certificate of Waiver, effective October 31, 2025, expires October 30, 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
October 31, 2025
Certificate expiration
October 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 31, 2017
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2139130
Lab name
Phi Walton
Address
2151 West Spring Street, Suite B220, Monroe, GA 30655
Phone
(770) 267-1895
Fax
(770) 267-1896

Annual test volume the lab reported

Waived tests
250

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

Affiliated CLIA numbers

Other labs in Monroe, GA

Related

Questions

What is the CLIA number for Phi Walton in Monroe?

11D2139130, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Phi Walton hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2139130 expire?

The CMS file lists October 30, 2027 as the certificate expiration date; the certificate took effect October 31, 2025.

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