CLIA lab
CLIA 11D2174705: Walmart Pharmacy 10-3205
Lithia Springs, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2174705 belongs to Walmart Pharmacy 10-3205 in Lithia 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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
- Health fair
- 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
- 11D2174705
- Lab name
- Walmart Pharmacy 10-3205
- Address
- 1100 Thornton Road, Lithia Springs, GA 30122
- Phone
- (770) 819-0814
- Fax
- (770) 819-1047
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 Lithia Springs, GA
- Accurate Testing CenterCertificate of Waiver, Other11D2323065
- Atlanta West Primary Care PCCertificate of Waiver, Physician office11D1026135
- Dca Diagnostics LLCCertificate of Waiver, Ambulatory surgery center11D1043610
- FP- Peachtree Immediate Care LSPCertificate of Waiver, Physician office11D2270012
- Georgia Pain and Wellness Center, LLCCertificate of Waiver, Physician office11D2331467
- Gynecology Issues PCCertificate for Provider-Performed Microscopy Procedures, Physician office11D0907507
- Judith Ruth Medical Center, LLCCertificate of Waiver, Physician office11D2283287
- Kedplasma, LLCCertificate of Accreditation, Other11D2177128
- Kids Start Pediatrics, PCCertificate of Waiver, Physician office11D0989048
- Kroger Pharmacy # 376Certificate of Waiver, Other11D0983261
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-3205 in Lithia Springs?
11D2174705, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-3205 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2174705 expire?
The CMS file lists November 5, 2027 as the certificate expiration date; the certificate took effect November 6, 2025.