CLIA lab

CLIA 03D2157962: Walmart Pharmacy 10-1230

Show Low, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 03D2157962 belongs to Walmart Pharmacy 10-1230 in Show Low, AZ.

Certificate of Waiver, effective November 16, 2024, expires November 15, 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
November 16, 2024
Certificate expiration
November 15, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 16, 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
03D2157962
Lab name
Walmart Pharmacy 10-1230
Address
5401 S White Mountain Rd, Show Low, AZ 85901
Phone
(928) 537-3010
Fax
(928) 537-3277

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 Walmart Pharmacy 10-1230 in Show Low?

03D2157962, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-1230 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D2157962 expire?

The CMS file lists November 15, 2026 as the certificate expiration date; the certificate took effect November 16, 2024.

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