CLIA lab
CLIA 11D2175321: Walmart Pharmacy 10-1061
Hazlehurst, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2175321 belongs to Walmart Pharmacy 10-1061 in Hazlehurst, 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
- 11D2175321
- Lab name
- Walmart Pharmacy 10-1061
- Address
- 136 E Jarman Street, Hazlehurst, GA 31539
- Phone
- (912) 537-5364
- Fax
- (912) 375-5278
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 Hazlehurst, GA
- Allen Crawford Fnp-PcCertificate of Waiver, Physician office11D2290791
- Burkett Family Practice, LLCCertificate of Waiver, Physician office11D2294782
- Family Healthcare ConnectionsCertificate of Waiver, Rural health clinic11D1040520
- Hazelhurst Court Care and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility11D0928733
- Hazlehurst PediaticsCertificate of Waiver, Physician office11D2167875
- Jeff Davis County EMSCertificate of Waiver, Ambulance11D0861750
- Jeff Davis Family Medical GroupCertificate for Provider-Performed Microscopy Procedures, Rural health clinic11D2104510
- Jeff Davis HospitalCertificate of Accreditation, Hospital11D0022183
- Jeff Davis Hospital EMSCertificate of Waiver, Ambulance11D2317684
- Jeff Davis Urgent CareCertificate of Waiver, Physician office11D2082878
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-1061 in Hazlehurst?
11D2175321, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-1061 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2175321 expire?
The CMS file lists November 18, 2027 as the certificate expiration date; the certificate took effect November 19, 2025.