CLIA lab
CLIA 05D2340338: Walmart Pharmacy #10-2025
Tracy, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2340338 belongs to Walmart Pharmacy #10-2025 in Tracy, CA.
Certificate of Waiver, effective March 16, 2026, expires March 15, 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 16, 2026
- Certificate expiration
- March 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 16, 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
- 05D2340338
- Lab name
- Walmart Pharmacy #10-2025
- Address
- 3010 W Grant Line Rd, Tracy, CA 95304
- Phone
- (209) 836-5786
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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- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2192567
- Ameriprime Home Health CareCertificate of Waiver, Home health agency05D2267485
- Co Occupational Medical PartnersCertificate of Waiver, Physician office05D2194804
- Crisis Pregnancy Center of TracyCertificate of Waiver, Other05D1031050
- Delta Eye Medical Group, Inc.Certificate of Waiver, Physician office05D2060650
- Golden State DermatologyCertificate of Compliance, Physician office05D2228655
- Grant Line DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2182931
- Great Valley Home Health LLCCertificate of Waiver, Home health agency05D2181717
- Heart 2 Heart Home Health CareCertificate of Waiver, Home health agency05D2314591
Related
Questions
What is the CLIA number for Walmart Pharmacy #10-2025 in Tracy?
05D2340338, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy #10-2025 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2340338 expire?
The CMS file lists March 15, 2028 as the certificate expiration date; the certificate took effect March 16, 2026.