CLIA lab

CLIA 11D2177995: Walmart Pharmacy 10-459

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

CLIA number 11D2177995 belongs to Walmart Pharmacy 10-459 in Covington, GA.

Certificate of Waiver, effective January 23, 2026, expires January 22, 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 23, 2026
Certificate expiration
January 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 23, 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
11D2177995
Lab name
Walmart Pharmacy 10-459
Address
10300 Industrial Boulevard, NE, Covington, GA 30014
Phone
(770) 787-8164
Fax
(770) 787-1609

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 Covington, GA

Related

Questions

What is the CLIA number for Walmart Pharmacy 10-459 in Covington?

11D2177995, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-459 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2177995 expire?

The CMS file lists January 22, 2028 as the certificate expiration date; the certificate took effect January 23, 2026.

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