CLIA lab
CLIA 05D2340453: Walmart Pharmacy #10-2077
Lake Elsinore, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2340453 belongs to Walmart Pharmacy #10-2077 in Lake Elsinore, CA.
Certificate of Waiver, effective March 17, 2026, expires March 16, 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 17, 2026
- Certificate expiration
- March 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 17, 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
- 05D2340453
- Lab name
- Walmart Pharmacy #10-2077
- Address
- 29260 Central Ave, Lake Elsinore, CA 92532
- Phone
- (951) 245-5990
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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- American Spine PCCertificate of Waiver, Physician office05D2143794
- Best Quality Care Hospice, IncCertificate of Waiver, Hospice05D2230657
- Cvs/Pharmacy #09847Certificate of Waiver, Pharmacy05D2272613
- DR Arce Family Medical Clinic IncCertificate of Waiver, Physician office05D1094975
- DR Jimmy Phan Medical CorporationCertificate of Waiver, Physician office05D2271479
- Farid Saadat M.D.Certificate of Waiver, Physician office05D0966075
- Healthcare Partners AffiliatesCertificate of Waiver, Physician office05D0974943
- Healthcare in Action - South RiversideCertificate of Waiver, Other05D2347920
Related
Questions
What is the CLIA number for Walmart Pharmacy #10-2077 in Lake Elsinore?
05D2340453, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy #10-2077 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2340453 expire?
The CMS file lists March 16, 2028 as the certificate expiration date; the certificate took effect March 17, 2026.