CLIA lab
CLIA 14D2139401: Walmart Pharmacy 10-1713
Canton, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2139401 belongs to Walmart Pharmacy 10-1713 in Canton, IL.
Certificate of Waiver, effective November 2, 2025, expires November 1, 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
- November 2, 2025
- Certificate expiration
- November 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 2, 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
- 14D2139401
- Lab name
- Walmart Pharmacy 10-1713
- Address
- 2071 N Main Street, Canton, IL 61520
- Phone
- (309) 647-8100
- Fax
- (309) 647-8580
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 Canton, IL
- Canton Hy-Vee Pharmacy (1047)Certificate of Waiver, Pharmacy14D1077747
- Carle Health Family Medicine CantonCertificate of Waiver, Physician office14D1010958
- Dermatology & Mohs Surgery InstituteCertificate of Waiver, Physician office14D2227097
- Emerald EstatesCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities14D1062956
- Fulton County Emergency Medical Association, IncCertificate of Waiver, Ambulance14D2205043
- Fulton County Health DepartmentCertificate for Provider-Performed Microscopy Procedures, Other14D0858054
- Graham Hospital Association LaboratoryCertificate of Accreditation, Hospital14D0431497
- Graham Hospital Association LaboratoryCertificate of Waiver, Hospital14D2319730
- Graham Hospital- Emergency DepartmentCertificate of Waiver, Other14D1106550
- Graham Medical Group - CantonCertificate of Waiver, Physician office14D0897810
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-1713 in Canton?
14D2139401, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-1713 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2139401 expire?
The CMS file lists November 1, 2027 as the certificate expiration date; the certificate took effect November 2, 2025.