CLIA lab
CLIA 14D2132988: Sam's Club Pharmacy 4815
Normal, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2132988 belongs to Sam's Club Pharmacy 4815 in Normal, IL.
Certificate of Waiver, effective July 3, 2025, expires July 2, 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
- July 3, 2025
- Certificate expiration
- July 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 3, 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
- 14D2132988
- Lab name
- Sam's Club Pharmacy 4815
- Address
- 2151 Shepard Rd, Normal, IL 61761
- Phone
- (309) 454-5478
- Fax
- (309) 454-5528
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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- Carle Bromenn Specialities ClinicCertificate of Waiver, Physician office14D1087642
Related
Questions
What is the CLIA number for Sam's Club Pharmacy 4815 in Normal?
14D2132988, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam's Club Pharmacy 4815 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2132988 expire?
The CMS file lists July 2, 2027 as the certificate expiration date; the certificate took effect July 3, 2025.