CLIA lab
CLIA 11D2241746: MPT Pharmacy LLC DBA Jackson Pharmacy
Hoschton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2241746 belongs to MPT Pharmacy LLC DBA Jackson Pharmacy in Hoschton, GA.
Certificate of Waiver, effective November 2, 2025, expires November 1, 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
- November 2, 2025
- Certificate expiration
- November 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 2, 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
- 11D2241746
- Lab name
- MPT Pharmacy LLC DBA Jackson Pharmacy
- Address
- 170 John Randolph Drive, Hoschton, GA 30548
- Phone
- (706) 658-0064
- Fax
- (706) 658-0330
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Kroger Pharmacy #011-686Certificate of Waiver, Pharmacy11D2327342
- Manor Lake HoschtonCertificate of Waiver, Assisted living facility11D2286842
- Minuteclinic, LLC, Minuteclinic #7637Certificate of Waiver, Other11D2054528
- NE Ga Physicians Group Est JacksonCertificate of Waiver, Physician office11D1077228
- Oaks at Braselton Assisted LivingCertificate of Waiver, Assisted living facility11D2207615
- Peach State EMS, LLCCertificate of Waiver, Ambulance11D2258963
- Peak Strength and Wellness ClinicCertificate of Waiver, Physician office11D2349389
Related
Questions
What is the CLIA number for MPT Pharmacy LLC DBA Jackson Pharmacy in Hoschton?
11D2241746, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does MPT Pharmacy LLC DBA Jackson Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2241746 expire?
The CMS file lists November 1, 2027 as the certificate expiration date; the certificate took effect November 2, 2025.