CLIA lab
CLIA 02D2142240: Walmart Supercenter Pharmacy 10-4474
Kenai, AK. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 02D2142240 belongs to Walmart Supercenter Pharmacy 10-4474 in Kenai, AK.
Certificate of Waiver, effective January 8, 2026, expires January 7, 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
- January 8, 2026
- Certificate expiration
- January 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 8, 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
- 02D2142240
- Lab name
- Walmart Supercenter Pharmacy 10-4474
- Address
- 10096 Kenai Spur Hwy, Kenai, AK 99611
- Phone
- (907) 395-0871
- Fax
- (907) 395-4038
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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- Central Peninsula Urgent CareCertificate of Waiver, Other02D2175964
- City of Kenai Fire DeptCertificate of Waiver, Mobile lab02D0673172
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- Marathon Petroleum KenaiCertificate of Waiver, Other02D2284690
- Odyssey Family Practice, LLCCertificate of Waiver, Physician office02D2162874
Related
Questions
What is the CLIA number for Walmart Supercenter Pharmacy 10-4474 in Kenai?
02D2142240, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Supercenter Pharmacy 10-4474 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 02D2142240 expire?
The CMS file lists January 7, 2028 as the certificate expiration date; the certificate took effect January 8, 2026.