CLIA lab
CLIA 11D2175860: Walmart Pharmacy 10-1403
Cornelia, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2175860 belongs to Walmart Pharmacy 10-1403 in Cornelia, 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
Lab and contact
- CLIA number
- 11D2175860
- Lab name
- Walmart Pharmacy 10-1403
- Address
- 250 Furniture Dr, Cornelia, GA 30531
- Phone
- (706) 778-0459
- Fax
- (706) 778-0474
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 Cornelia, GA
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- Habersham Retreat Assisted Living #2Certificate of Waiver, Skilled nursing or nursing facility11D0963971
- Ingles Markets, Inc (Ingles Pharmacy #061)Certificate of Waiver, Pharmacy11D2184949
- Lifecare EMS of Georgia, LLCCertificate of Waiver, Ambulance11D2231176
- Occupational Health Services Johnson and JohnsonCertificate of Waiver, Industrial11D1072867
- Spinal Rehab and Healthcare, LLCCertificate of Waiver, Physician office11D2091551
- Walgreens 19973Certificate of Waiver, Physician office11D2291819
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-1403 in Cornelia?
11D2175860, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-1403 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2175860 expire?
The CMS file lists December 2, 2027 as the certificate expiration date; the certificate took effect December 3, 2025.