CLIA lab

CLIA 14D2139538: Walmart Pharmacy 10-1395

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

CLIA number 14D2139538 belongs to Walmart Pharmacy 10-1395 in Centralia, IL.

Certificate of Waiver, effective November 6, 2025, expires November 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
November 6, 2025
Certificate expiration
November 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 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
14D2139538
Lab name
Walmart Pharmacy 10-1395
Address
1212 W Mccord St, Centralia, IL 62801
Phone
(618) 533-1728
Fax
(618) 533-1734

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 Walmart Pharmacy 10-1395 in Centralia?

14D2139538, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-1395 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2139538 expire?

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

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