CLIA lab
CLIA 11D2229883: Walgreens #17568
Hiram, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2229883 belongs to Walgreens #17568 in Hiram, GA.
Certificate of Waiver, effective July 18, 2025, expires July 17, 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
- July 18, 2025
- Certificate expiration
- July 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 18, 2021
- 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
- 11D2229883
- Lab name
- Walgreens #17568
- Address
- 4442 Jimmy Lee Smith Parkway, Hiram, GA 30141
- Phone
- (770) 943-0592
- Fax
- (770) 439-3938
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Hiram, GA
- Aga LLCCertificate of Waiver, Physician office11D1085041
- American Health Imaging of HiramCertificate of Waiver, Independent11D2125729
- Atlanta Kidney and Hypertension AssociatesCertificate for Provider-Performed Microscopy Procedures, Physician office11D1095730
- Center for Allergy and Asthma of West Ga, PCCertificate of Waiver, Physician office11D2007451
- Children's Medical Associate, LLCCertificate of Waiver, Physician office11D0254146
- Cobbwest Internal Medicine Associates, LLCCertificate of Waiver, Physician office11D2059133
- FP- Peachtree Immediate Care - HirCertificate of Waiver, Physician office11D1043488
- Fresenius Medical Care HiramCertificate of Waiver, End stage renal disease dialysis facility11D2008298
- Georgia Kidney Associates, IncCertificate for Provider-Performed Microscopy Procedures, Physician office11D2230320
- Georgia Pain and Spine Solutions, PCCertificate of Waiver, Physician office11D2154585
Related
Questions
What is the CLIA number for Walgreens #17568 in Hiram?
11D2229883, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #17568 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2229883 expire?
The CMS file lists July 17, 2027 as the certificate expiration date; the certificate took effect July 18, 2025.