CLIA lab
CLIA 14D2140404: Walmart Pharmacy #05399
Dixon, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2140404 belongs to Walmart Pharmacy #05399 in Dixon, 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
- 14D2140404
- Lab name
- Walmart Pharmacy #05399
- Address
- 1640 S Galena Ave, Dixon, IL 61021
- Phone
- (815) 288-7797
- Fax
- (815) 288-7804
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 Dixon, IL
- Borg Warner Wellness CenterCertificate of Waiver, Other14D2159990
- Dixon Clinic, theCertificate of Accreditation, Community clinic14D0868552
- Dixon Kidney Center (D/B/A)Certificate of Waiver, End stage renal disease dialysis facility14D1045207
- Dixon Rehabilitation and HealthcareCertificate of Waiver, Skilled nursing or nursing facility14D0880819
- Fresenius Medical Care Rock River - DixonCertificate of Waiver, End stage renal disease dialysis facility14D2122371
- Heritage SquareCertificate of Waiver, Skilled nursing or nursing facility14D0889494
- Illinois Urologic Health SurgeonsCertificate for Provider-Performed Microscopy Procedures, Physician office14D2117799
- Kreider Services, IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities14D1048026
- Lee County Health DepartmentCertificate for Provider-Performed Microscopy Procedures, Public health laboratory14D0667004
- Lee County Sheriff's OfficeCertificate of Waiver, Other14D2165703
Related
Questions
What is the CLIA number for Walmart Pharmacy #05399 in Dixon?
14D2140404, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy #05399 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2140404 expire?
The CMS file lists November 20, 2027 as the certificate expiration date; the certificate took effect November 21, 2025.