CLIA lab
CLIA 13D2136339: Walmart Pharmacy 10-1995
Chubbuck, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2136339 belongs to Walmart Pharmacy 10-1995 in Chubbuck, ID.
Certificate of Waiver, effective September 7, 2025, expires September 6, 2027.
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
- September 7, 2025
- Certificate expiration
- September 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 7, 2017
- 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
- 13D2136339
- Lab name
- Walmart Pharmacy 10-1995
- Address
- 4240 Yellowstone Ave, Chubbuck, ID 83202
- Phone
- (208) 237-5091
- Fax
- (208) 237-5180
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Chubbuck, ID
- Brookdale ChubbuckCertificate of Waiver, Assisted living facility13D2196433
- Cardio Renal InstituteCertificate of Waiver, Other13D2269810
- Clifford Family MedicineCertificate of Waiver, Physician office13D2134030
- Grace at Chubbuck LLCCertificate of Waiver, Assisted living facility13D2194036
- Health West Chubbuck Community Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center13D2189591
- Henry's Fork Surgery CenterCertificate of Waiver, Ambulatory surgery center13D2334161
- Idaho Skin Institute of ChubbuckCertificate of Compliance, Physician office13D2000081
- Inclusive Care Clinic PharmacyCertificate of Waiver, Pharmacy13D2307153
- Just 4 Kids Urgent CareCertificate of Waiver, Other13D2221794
- Need-A-Nurse Medical Staffing LLCCertificate of Waiver, Physician office13D2074793
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-1995 in Chubbuck?
13D2136339, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-1995 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2136339 expire?
The CMS file lists September 6, 2027 as the certificate expiration date; the certificate took effect September 7, 2025.