CLIA lab
CLIA 13D2149848: Walmart Pharmacy #10-2782
Mountain Home, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2149848 belongs to Walmart Pharmacy #10-2782 in Mountain Home, 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
- 13D2149848
- Lab name
- Walmart Pharmacy #10-2782
- Address
- 2745 American Legion Blvd, Mountain Home, ID 83647
- Phone
- (208) 587-0861
- Fax
- (208) 587-9312
Annual test volume the lab reported
- Waived tests
- 100
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 #10-2782 in Mountain Home?
13D2149848, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy #10-2782 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2149848 expire?
The CMS file lists June 11, 2028 as the certificate expiration date; the certificate took effect June 12, 2026.