CLIA lab

CLIA 05D2340565: Walmart Pharmacy #10-1992

Upland, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2340565 belongs to Walmart Pharmacy #10-1992 in Upland, CA.

Certificate of Waiver, effective March 18, 2026, expires March 17, 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 18, 2026
Certificate expiration
March 17, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 18, 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
05D2340565
Lab name
Walmart Pharmacy #10-1992
Address
1540 W Foothill Blvd, Upland, CA 91786
Phone
(909) 920-4021

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 #10-1992 in Upland?

05D2340565, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy #10-1992 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2340565 expire?

The CMS file lists March 17, 2028 as the certificate expiration date; the certificate took effect March 18, 2026.

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