CLIA lab

CLIA 14D2126850: Walmart #2204

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

CLIA number 14D2126850 belongs to Walmart #2204 in Forest Park, IL.

Certificate of Waiver, effective March 6, 2025, expires March 5, 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
March 6, 2025
Certificate expiration
March 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 6, 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
14D2126850
Lab name
Walmart #2204
Address
1300 Des Plaines Ave, Forest Park, IL 60130
Phone
(708) 771-2236
Fax
(708) 771-2284

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 Forest Park, IL

Related

Questions

What is the CLIA number for Walmart #2204 in Forest Park?

14D2126850, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart #2204 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2126850 expire?

The CMS file lists March 5, 2027 as the certificate expiration date; the certificate took effect March 6, 2025.

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