CLIA lab
CLIA 42D2179569: Walmart Pharmacy 10-625
Georgetown, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2179569 belongs to Walmart Pharmacy 10-625 in Georgetown, SC.
Certificate of Waiver, effective February 26, 2026, expires February 25, 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
- February 26, 2026
- Certificate expiration
- February 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 26, 2020
- Facility type
- Physician office
- 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
- 42D2179569
- Lab name
- Walmart Pharmacy 10-625
- Address
- 1310 N Fraser Street, Georgetown, SC 29440
- Phone
- (843) 527-2223
- Fax
- (843) 546-2702
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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- Fresenius Medical Care GeorgetownCertificate of Waiver, End stage renal disease dialysis facility42D0251057
- Fresenius Medical Care WinyahCertificate of Waiver, End stage renal disease dialysis facility42D1101434
- Georgetown City Fire DepartmentCertificate of Waiver, Other42D2120687
- Georgetown Co Alcohol & Drug Abuse CommissionCertificate of Waiver, Other42D1014134
- Georgetown Co Board of DisabilitiesCertificate of Waiver, Other42D1085991
- Georgetown County Detention CenterCertificate of Waiver, Prison42D2052206
- Georgetown County Fire/EmsCertificate of Waiver, Ambulance42D2041012
- Georgetown County School DistrictCertificate of Waiver, School or student health service42D2206086
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-625 in Georgetown?
42D2179569, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-625 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2179569 expire?
The CMS file lists February 25, 2028 as the certificate expiration date; the certificate took effect February 26, 2026.