CLIA lab
CLIA 11D2177004: Walmart Pharmacy 10-1363
Madison, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2177004 belongs to Walmart Pharmacy 10-1363 in Madison, GA.
Certificate of Waiver, effective January 2, 2026, expires January 1, 2028.
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
- January 2, 2026
- Certificate expiration
- January 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 2, 2020
- 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
- 11D2177004
- Lab name
- Walmart Pharmacy 10-1363
- Address
- 1681 Eatonton Road, Madison, GA 30650
- Phone
- (706) 342-4853
- Fax
- (706) 342-4951
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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- Ingles Markets, Inc (Ingles Pharmacy #444)Certificate of Waiver, Pharmacy11D2184982
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- Madison Medical Associates PCCertificate for Provider-Performed Microscopy Procedures, Physician office11D1074085
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Related
Questions
What is the CLIA number for Walmart Pharmacy 10-1363 in Madison?
11D2177004, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-1363 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2177004 expire?
The CMS file lists January 1, 2028 as the certificate expiration date; the certificate took effect January 2, 2026.