CLIA lab
CLIA 13D2149827: Walmart Pharmacy #10-1878
Rexburg, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2149827 belongs to Walmart Pharmacy #10-1878 in Rexburg, ID.
Certificate of Waiver, effective June 12, 2026, expires June 11, 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 12, 2026
- Certificate expiration
- June 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 12, 2018
- 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
- 13D2149827
- Lab name
- Walmart Pharmacy #10-1878
- Address
- 1450 North 2nd East, Rexburg, ID 83440
- Phone
- (208) 359-2814
- Fax
- (208) 359-2816
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Biomat USA IncCertificate of Accreditation, Other13D0922940
- Biomat USA IncCertificate of Accreditation, Other13D2149953
- Broulims Pharmacy #6Certificate of Waiver, Pharmacy13D2136415
- Byu - Idaho Student Health CenterCertificate of Compliance, School or student health service13D0056537
- Clinical Research Prime RexburgCertificate of Waiver, Other13D2233937
- Community Care RexburgCertificate of Compliance, Rural health clinic13D0962844
- Complete Family CareCertificate of Waiver, Physician office13D2087556
- Cress Creek Counseling PLLCCertificate of Waiver, Other practitioner13D2313780
- Elite Clinical Trials LllpCertificate of Waiver, Other13D2185451
Related
Questions
What is the CLIA number for Walmart Pharmacy #10-1878 in Rexburg?
13D2149827, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy #10-1878 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2149827 expire?
The CMS file lists June 11, 2028 as the certificate expiration date; the certificate took effect June 12, 2026.