CLIA lab

CLIA 05D2345804: Walmart Pharmcy #10-1881

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

CLIA number 05D2345804 belongs to Walmart Pharmcy #10-1881 in Antelope, CA.

Certificate of Waiver, effective June 17, 2026, expires June 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
June 17, 2026
Certificate expiration
June 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 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
05D2345804
Lab name
Walmart Pharmcy #10-1881
Address
7901 Watt Ave, Antelope, CA 95843
Phone
(916) 332-3173

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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Questions

What is the CLIA number for Walmart Pharmcy #10-1881 in Antelope?

05D2345804, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmcy #10-1881 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2345804 expire?

The CMS file lists June 16, 2028 as the certificate expiration date; the certificate took effect June 17, 2026.

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