CLIA lab

CLIA 11D2175318: Walmart Pharmacy 10-618

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

CLIA number 11D2175318 belongs to Walmart Pharmacy 10-618 in Hiram, GA.

Certificate of Waiver, effective November 19, 2025, expires November 18, 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 19, 2025
Certificate expiration
November 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 19, 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
11D2175318
Lab name
Walmart Pharmacy 10-618
Address
4166 Jimmy Lee Smith Parkway, Hiram, GA 30141
Phone
(770) 439-2952
Fax
(770) 934-7547

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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Related

Questions

What is the CLIA number for Walmart Pharmacy 10-618 in Hiram?

11D2175318, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-618 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2175318 expire?

The CMS file lists November 18, 2027 as the certificate expiration date; the certificate took effect November 19, 2025.

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