CLIA lab
CLIA 05D2338981: Walmart Pharmacy #10-1979
Clearlake, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2338981 belongs to Walmart Pharmacy #10-1979 in Clearlake, CA.
Certificate of Waiver, effective February 20, 2026, expires February 19, 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 20, 2026
- Certificate expiration
- February 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 20, 2026
- 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
- 05D2338981
- Lab name
- Walmart Pharmacy #10-1979
- Address
- 15960 Dam Rd, Clearlake, CA 95422
- Phone
- (707) 994-6881
Annual test volume the lab reported
- Waived tests
- 200
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 #10-1979 in Clearlake?
05D2338981, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy #10-1979 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2338981 expire?
The CMS file lists February 19, 2028 as the certificate expiration date; the certificate took effect February 20, 2026.