CLIA lab
CLIA 13D2149956: Walmart Supercenter
Blackfoot, ID. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 13D2149956 belongs to Walmart Supercenter in Blackfoot, ID.
Certificate of Waiver, effective June 14, 2026, expires June 13, 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 14, 2026
- Certificate expiration
- June 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 14, 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
- 13D2149956
- Lab name
- Walmart Supercenter
- Address
- 565 Jensen Grove Dr, Blackfoot, ID 83221
- Phone
- (208) 785-0277
- Fax
- (208) 785-0388
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.
Other labs in Blackfoot, ID
- 1st Choice Urgent CareCertificate of Waiver, Rural health clinic13D1099999
- Advanced Eyecare of BlackfootCertificate of Waiver, Physician office13D2289888
- Bingham County JailCertificate of Waiver, Other13D2084993
- Bingham Memorial HospitalCertificate of Registration, Hospital13D0056444
- Blackfoot Medical CenterCertificate of Compliance, Rural health clinic13D0673165
- Community Family ClinicCertificate of Waiver, Federally qualified health center13D2243141
- Elite Clinical TrialsCertificate for Provider-Performed Microscopy Procedures, Other13D2046947
- Grove Creek Medical CenterCertificate of Waiver, Ambulatory surgery center13D1043303
- Idaho Kidney CenterCertificate of Waiver, End stage renal disease dialysis facility13D1059334
- Idaho Physicians ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office13D0994767
Related
Questions
What is the CLIA number for Walmart Supercenter in Blackfoot?
13D2149956, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Supercenter hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 13D2149956 expire?
The CMS file lists June 13, 2028 as the certificate expiration date; the certificate took effect June 14, 2026.