CLIA lab

CLIA 11D2174916: Walmart Pharmacy 10-3621

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

CLIA number 11D2174916 belongs to Walmart Pharmacy 10-3621 in Chamblee, GA.

Certificate of Waiver, effective November 12, 2025, expires November 11, 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 12, 2025
Certificate expiration
November 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 12, 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
11D2174916
Lab name
Walmart Pharmacy 10-3621
Address
1871 Chamblee Tucker Road, Chamblee, GA 30341
Phone
(770) 455-4699
Fax
(770) 455-0744

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 Chamblee, GA

Related

Questions

What is the CLIA number for Walmart Pharmacy 10-3621 in Chamblee?

11D2174916, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-3621 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2174916 expire?

The CMS file lists November 11, 2027 as the certificate expiration date; the certificate took effect November 12, 2025.

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