CLIA lab
CLIA 14D2140319: Walmart Pharmacy 00253
Jerseyville, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2140319 belongs to Walmart Pharmacy 00253 in Jerseyville, IL.
Certificate of Waiver, effective November 20, 2025, expires November 19, 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 20, 2025
- Certificate expiration
- November 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 20, 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
- 14D2140319
- Lab name
- Walmart Pharmacy 00253
- Address
- 1316 South State Street, Jerseyville, IL 62052
- Phone
- (618) 498-6864
- Fax
- (618) 498-7008
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 Jerseyville, IL
- J C H Medical Group - Jerseyville I I ICertificate of Waiver, Rural health clinic14D2170594
- J C H Medical Group - Jerseyville I VCertificate of Waiver, Physician office14D2177388
- JCH Medical GroupCertificate of Waiver, Physician office14D0433692
- JCH Medical GroupCertificate of Waiver, Rural health clinic14D2096942
- Jersey Community HospitalCertificate of Accreditation, Hospital14D0433690
- Jersey County Health DepartmentCertificate of Waiver, Other14D0433691
- Jerseyville DialysisCertificate of Waiver, End stage renal disease dialysis facility14D1021243
- Jerseyville ManorCertificate of Waiver, Skilled nursing or nursing facility14D0869007
- Survival Flight IncCertificate of Waiver, Ambulance14D2102796
- Villas of Holly Brook - JerseyvilleCertificate of Waiver, Assisted living facility14D2196488
Related
Questions
What is the CLIA number for Walmart Pharmacy 00253 in Jerseyville?
14D2140319, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 00253 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2140319 expire?
The CMS file lists November 19, 2027 as the certificate expiration date; the certificate took effect November 20, 2025.