CLIA lab
CLIA 14D2125555: Wal-Mart Pharmacy 10-5403
Urbana, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2125555 belongs to Wal-Mart Pharmacy 10-5403 in Urbana, IL.
Certificate of Waiver, effective February 9, 2025, expires February 8, 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
- February 9, 2025
- Certificate expiration
- February 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 9, 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
- 14D2125555
- Lab name
- Wal-Mart Pharmacy 10-5403
- Address
- 100 S High Cross Rd, Urbana, IL 61802
- Phone
- (217) 344-6190
- Fax
- (217) 344-6199
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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Related
Questions
What is the CLIA number for Wal-Mart Pharmacy 10-5403 in Urbana?
14D2125555, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wal-Mart Pharmacy 10-5403 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2125555 expire?
The CMS file lists February 8, 2027 as the certificate expiration date; the certificate took effect February 9, 2025.