CLIA lab
CLIA 14D2140352: Walmart Pharmacy 10-0852
Ottawa, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2140352 belongs to Walmart Pharmacy 10-0852 in Ottawa, 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
- 14D2140352
- Lab name
- Walmart Pharmacy 10-0852
- Address
- 4041 Veterans Dr, Ottawa, IL 61350
- Phone
- (815) 434-0176
- Fax
- (815) 434-1591
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 Ottawa, IL
- C V S / Pharmacy #10981Certificate of Waiver, Pharmacy14D2187046
- Cardiovascular Specialist of Morris HospitalCertificate of Waiver, Ancillary test site14D2138862
- Fresenius Medical Care OttawaCertificate of Waiver, End stage renal disease dialysis facility14D1040550
- Great Heights Medical L T DCertificate of Waiver, Physician office14D2156706
- Great Heights O T P, OttawaCertificate of Waiver, Comprehensive outpatient rehab facility14D2156618
- Heritage Woods of OttawaCertificate of Waiver, Assisted living facility14D2196444
- Illinois Urologic Health SurgeonsCertificate for Provider-Performed Microscopy Procedures, Physician office14D2056529
- Kroger Pharmacy #704Certificate of Waiver, Pharmacy14D2092711
- Lasalle County Health DepartmentCertificate of Waiver, Other14D0940145
- Lasalle County JailCertificate of Waiver, Prison14D2004252
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-0852 in Ottawa?
14D2140352, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-0852 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2140352 expire?
The CMS file lists November 19, 2027 as the certificate expiration date; the certificate took effect November 20, 2025.