CLIA lab
CLIA 14D2140392: Walmart Pharmacy 10-4699
Streator, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2140392 belongs to Walmart Pharmacy 10-4699 in Streator, IL.
Certificate of Waiver, effective November 21, 2025, expires November 20, 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 21, 2025
- Certificate expiration
- November 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 21, 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
- 14D2140392
- Lab name
- Walmart Pharmacy 10-4699
- Address
- 2415 N Bloomington St, Streator, IL 61364
- Phone
- (815) 672-3071
- Fax
- (479) 204-0980
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 Streator, IL
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- Dermatology & Mohs Surgery InstituteCertificate of Waiver, Physician office14D2084034
- Evergreen PlaceCertificate of Waiver, Other14D2194739
- Family Vision CornerCertificate of Waiver, Physician office14D2104359
- Finkelstein Eye Care P L L CCertificate of Waiver, Physician office14D2093937
- Fresenius Medical Care of StreatorCertificate of Waiver, Physician office14D1100126
- Illinois Urologic Health SurgeonsCertificate for Provider-Performed Microscopy Procedures, Physician office14D2011211
- Kroger Pharmacy 982Certificate of Waiver, Pharmacy14D1078328
- Liberty Village of StreatorCertificate of Waiver, Assisted living facility14D2261875
- Osf Healthcare - Medical Group - StreatorCertificate of Waiver, Physician office14D0431141
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-4699 in Streator?
14D2140392, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-4699 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2140392 expire?
The CMS file lists November 20, 2027 as the certificate expiration date; the certificate took effect November 21, 2025.