CLIA lab
CLIA 11D2172728: Nicholls Pharmacy, LLC
Nicholls, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2172728 belongs to Nicholls Pharmacy, LLC in Nicholls, GA.
Certificate of Waiver, effective September 30, 2025, expires September 29, 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
- September 30, 2025
- Certificate expiration
- September 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 2019
- 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
- 11D2172728
- Lab name
- Nicholls Pharmacy, LLC
- Address
- 1003 Van Streat Hwy, Nicholls, GA 31554
- Phone
- (912) 345-1021
- Fax
- (912) 345-0019
Annual test volume the lab reported
- Waived tests
- 60
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Nicholls, GA
- Coffee Correctional FacilityCertificate of Waiver, Other11D0954240
- Healthstat Incorporate on Site ClinicCertificate of Waiver, Other11D1081430
- Nicholls Family HealthcareCertificate of Waiver, Rural health clinic11D2133713
- SLB Diagnostic SolutionCertificate of Waiver, Independent11D2325999
- South East EMS LLCCertificate of Waiver, Ambulance11D2345603
Related
Questions
What is the CLIA number for Nicholls Pharmacy, LLC in Nicholls?
11D2172728, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Nicholls Pharmacy, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2172728 expire?
The CMS file lists September 29, 2027 as the certificate expiration date; the certificate took effect September 30, 2025.