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CLIA 11D2175857: Walmart Pharmacy 10-1340
Lithonia, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2175857 belongs to Walmart Pharmacy 10-1340 in Lithonia, GA.
Certificate of Waiver, effective December 3, 2025, expires December 2, 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
- December 3, 2025
- Certificate expiration
- December 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 3, 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
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Lab and contact
- CLIA number
- 11D2175857
- Lab name
- Walmart Pharmacy 10-1340
- Address
- 5401 Fairington Rd, Lithonia, GA 30038
- Phone
- (770) 593-4998
- Fax
- (770) 593-4891
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 10-1340 in Lithonia?
11D2175857, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-1340 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2175857 expire?
The CMS file lists December 2, 2027 as the certificate expiration date; the certificate took effect December 3, 2025.
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Map your lab's test names to LOINC codes
Map the testsFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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