CLIA lab
CLIA 11D2188249: Lake Park Pharmacy DBA Chancy Drugs
Lake Park, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2188249 belongs to Lake Park Pharmacy DBA Chancy Drugs in Lake Park, GA.
Certificate of Waiver, effective July 15, 2026, expires July 14, 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
- July 15, 2026
- Certificate expiration
- July 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 15, 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
- 11D2188249
- Lab name
- Lake Park Pharmacy DBA Chancy Drugs
- Address
- 453 Lakes Boulevard, Lake Park, GA 31636
- Phone
- (229) 559-9394
- Fax
- (229) 559-9394
Annual test volume the lab reported
- Waived tests
- 100
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 Lake Park Pharmacy DBA Chancy Drugs in Lake Park?
11D2188249, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Park Pharmacy DBA Chancy Drugs hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2188249 expire?
The CMS file lists July 14, 2028 as the certificate expiration date; the certificate took effect July 15, 2026.