CLIA lab
CLIA 14D2140369: Walmart Pharmacy 10-4049
Olympia Fields, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2140369 belongs to Walmart Pharmacy 10-4049 in Olympia Fields, 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
- 14D2140369
- Lab name
- Walmart Pharmacy 10-4049
- Address
- 21000 Western Ave, Olympia Fields, IL 60461
- Phone
- (708) 898-9114
- Fax
- (479) 204-9113
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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- Cvs/Pharmacy #01768Certificate of Waiver, Pharmacy14D2282623
- DMG Southwest Women's HealthcareCertificate of Waiver, Physician office14D0977126
- Dialysis Care Center Olympia Fields L L CCertificate of Waiver, End stage renal disease dialysis facility14D2133907
- Frontier Healthcare SystemCertificate of Waiver, Other practitioner14D2349116
- Gold Coast Home Health IncCertificate of Waiver, Home health agency14D1102508
- Grace Home Health Services IncCertificate of Waiver, Home health agency14D2315799
- Home Dialysis Services Olympia Fields, L L CCertificate of Waiver, End stage renal disease dialysis facility14D2116934
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-4049 in Olympia Fields?
14D2140369, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-4049 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2140369 expire?
The CMS file lists November 19, 2027 as the certificate expiration date; the certificate took effect November 20, 2025.