CLIA lab

CLIA 14D2121065: Wal-Mart Pharmacy #10-0199

Lincoln, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D2121065 belongs to Wal-Mart Pharmacy #10-0199 in Lincoln, IL.

Certificate of Waiver, effective October 28, 2026, expires October 27, 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
October 28, 2026
Certificate expiration
October 27, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 28, 2016
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
14D2121065
Lab name
Wal-Mart Pharmacy #10-0199
Address
825 Malerich Dr, Lincoln, IL 62656
Phone
(309) 657-0303
Fax
(309) 353-1551

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 Lincoln, IL

Related

Questions

What is the CLIA number for Wal-Mart Pharmacy #10-0199 in Lincoln?

14D2121065, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wal-Mart Pharmacy #10-0199 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2121065 expire?

The CMS file lists October 27, 2028 as the certificate expiration date; the certificate took effect October 28, 2026.

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