CLIA lab
CLIA 01D2158940: Walmart Pharmacy 10-300
Jacksonville, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 01D2158940 belongs to Walmart Pharmacy 10-300 in Jacksonville, AL.
Certificate of Waiver, effective December 11, 2024, expires December 10, 2026.
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
- December 11, 2024
- Certificate expiration
- December 10, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 11, 2018
- 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
- 01D2158940
- Lab name
- Walmart Pharmacy 10-300
- Address
- 1625 Pelham Rd S, Jacksonville, AL 36265
- Phone
- (256) 435-1071
- Fax
- (256) 435-5934
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 Jacksonville, AL
- Clinical Urology Associates PCCertificate of Accreditation, Physician office01D2306947
- Crow Drug, IncCertificate of Waiver, Pharmacy01D2180349
- DR David Chandler OD PCCertificate of Waiver, Physician office01D2042543
- Doctors Med Care of Jacksonville PCCertificate of Compliance, Physician office01D1045512
- Fast Pace Medical Clinic, PLLCCertificate of Waiver, Other practitioner01D2284486
- Festok Pediatric CorpCertificate of Waiver, Physician office01D0887119
- Harbor at Legacy Village of Jacksonville, theCertificate of Waiver, Assisted living facility01D2061498
- Jacksonville Family MedicineCertificate of Waiver, Physician office01D2074962
- Legacy Village of JacksonvilleCertificate of Waiver, Assisted living facility01D2047802
- Rai-Henry RD JacksonvilleCertificate of Waiver, End stage renal disease dialysis facility01D1084100
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-300 in Jacksonville?
01D2158940, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-300 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 01D2158940 expire?
The CMS file lists December 10, 2026 as the certificate expiration date; the certificate took effect December 11, 2024.