CLIA lab
CLIA 05D2339720: Walmart Pharmacy #10-1616
Susanville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2339720 belongs to Walmart Pharmacy #10-1616 in Susanville, CA.
Certificate of Waiver, effective March 5, 2026, expires March 4, 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 5, 2026
- Certificate expiration
- March 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 5, 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
- 05D2339720
- Lab name
- Walmart Pharmacy #10-1616
- Address
- 2900 Main St, Susanville, CA 96130
- Phone
- (530) 251-2000
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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- Banner Lassen Medical CenterCertificate of Accreditation, Hospital05D0677283
- CF Susanville, LLCCertificate of Waiver, Skilled nursing or nursing facility05D0671777
- Diamond View VA ClinicCertificate of Accreditation, Community clinic05D2028005
- Hal Meadows MDCertificate of Waiver, Physician office05D0618634
- High Desert State Prison LaboratoryCertificate of Waiver, Other05D0912539
- Keith Mark Gross MD IncCertificate of Compliance, Physician office05D2024231
- Lassen County Public Health DepartmentCertificate of Waiver, Public health laboratory05D0707206
- Lassen Indian Health CenterCertificate of Waiver, Other05D0684082
- Northeastern Rural Health ClinicsCertificate of Waiver, Federally qualified health center05D0618660
Related
Questions
What is the CLIA number for Walmart Pharmacy #10-1616 in Susanville?
05D2339720, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy #10-1616 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2339720 expire?
The CMS file lists March 4, 2028 as the certificate expiration date; the certificate took effect March 5, 2026.