CLIA lab
CLIA 13D2136344: Walmart Pharmacy 10-3511
Hayden, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2136344 belongs to Walmart Pharmacy 10-3511 in Hayden, 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
- 13D2136344
- Lab name
- Walmart Pharmacy 10-3511
- Address
- 550 W Honeysuckle Ave, Hayden, ID 83835
- Phone
- (208) 209-4081
- Fax
- (208) 209-4057
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.
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- Biolife Plasma Services LPCertificate of Compliance, Other13D2019328
- Family Medical Care PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office13D1049033
- Gerald Dalgleish PathologyCertificate of Registration, Independent13D2327753
- Hayden PlaceCertificate of Waiver, Assisted living facility13D2313660
- Hayden Vision SourceCertificate of Waiver, Physician office13D2026988
- Heart of Hope HealthCertificate of Waiver, Physician office13D2253887
- Heritage Health - Pediatrics HaydenCertificate of Waiver, Federally qualified health center13D1091344
- Honeysuckle Place Assisted Living CommunityCertificate of Waiver, Assisted living facility13D2053100
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-3511 in Hayden?
13D2136344, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-3511 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2136344 expire?
The CMS file lists September 6, 2027 as the certificate expiration date; the certificate took effect September 7, 2025.