CLIA lab
CLIA 11D2174702: Walmart Pharmacy 10-5814
Holly Springs, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2174702 belongs to Walmart Pharmacy 10-5814 in Holly Springs, GA.
Certificate of Waiver, effective November 6, 2025, expires November 5, 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
- November 6, 2025
- Certificate expiration
- November 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 6, 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
- 11D2174702
- Lab name
- Walmart Pharmacy 10-5814
- Address
- 2200 Holly Springs Parkway, Holly Springs, GA 30115
- Phone
- (770) 213-6521
- Fax
- (770) 213-6522
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.
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- NW Ga Oncology CTR A Service of Wellstar Cobb HospCertificate of Accreditation, Other11D2205217
- Northside Cherokee Pediatrics Holly SpringsCertificate of Waiver, Physician office11D2049293
- Northside Family Med &urgent Care of Holly SpringsCertificate of Waiver, Other practitioner11D2005985
- Northside Heart Failure Therapy Holly SpringsCertificate of Waiver, Physician office11D2288532
- Northside Holly Springs RadiologyCertificate of Waiver, Other11D2082686
- Northside Towne Lake Primary Care- Holly SpringsCertificate of Waiver, Physician office11D2186883
- Tspmg, Inc - Holly SpringsCertificate for Provider-Performed Microscopy Procedures, Physician office11D2006605
- WMG Cherokee Health Park EndocrinologyCertificate of Waiver, Physician office11D2189377
- WMG Urgent Care Cherokee Health ParkCertificate of Compliance, Physician office11D1100175
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-5814 in Holly Springs?
11D2174702, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-5814 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2174702 expire?
The CMS file lists November 5, 2027 as the certificate expiration date; the certificate took effect November 6, 2025.