CLIA lab

CLIA 14D2129551: Walmart Pharmacy 10-0786

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

CLIA number 14D2129551 belongs to Walmart Pharmacy 10-0786 in Dekalb, IL.

Certificate of Waiver, effective April 21, 2025, expires April 20, 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
April 21, 2025
Certificate expiration
April 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 21, 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
14D2129551
Lab name
Walmart Pharmacy 10-0786
Address
2300 Sycamore Rd, Dekalb, IL 60115
Phone
(815) 758-6284
Fax
(815) 758-6204

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 Dekalb, IL

Related

Questions

What is the CLIA number for Walmart Pharmacy 10-0786 in Dekalb?

14D2129551, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-0786 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2129551 expire?

The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.

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