CLIA lab
CLIA 03D2145442: Wal-Mart Stores East, LP
Payson, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2145442 belongs to Wal-Mart Stores East, LP in Payson, AZ.
Certificate of Waiver, effective March 7, 2026, expires March 6, 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
- March 7, 2026
- Certificate expiration
- March 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 7, 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
- 03D2145442
- Lab name
- Wal-Mart Stores East, LP
- Additional name
- DBA Wal-Mart Pharmacy #10-1369
- Address
- 300 N Beeline Hwy, Payson, AZ 85541
- Phone
- (928) 474-0034
- Fax
- (479) 204-0980
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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Related
Questions
What is the CLIA number for Wal-Mart Stores East, LP in Payson?
03D2145442, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wal-Mart Stores East, LP hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2145442 expire?
The CMS file lists March 6, 2028 as the certificate expiration date; the certificate took effect March 7, 2026.