CLIA lab
CLIA 14D2140408: Walmart Pharmacy 10-0454
Fairfield, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2140408 belongs to Walmart Pharmacy 10-0454 in Fairfield, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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
- 14D2140408
- Lab name
- Walmart Pharmacy 10-0454
- Address
- 150 Commerce Drive, Fairfield, IL 62837
- Phone
- (618) 847-5205
- Fax
- (618) 847-4055
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fairfield, IL
- Brookstone Estates of FairfieldCertificate of Waiver, Assisted living facility14D2182421
- Compassion Pregnancy Center NFPCertificate of Waiver, Other14D2079659
- Fairfield Community Health Center (D/B/A)Certificate for Provider-Performed Microscopy Procedures, Physician office14D0873963
- Fairfield Community High SchoolCertificate of Waiver, School or student health service14D2234900
- Fairfield Memorial Hospital AssociationCertificate of Accreditation, Hospital14D0436118
- Fairfield Memorial Urgent CareCertificate of Waiver, Rural health clinic14D2265609
- Fairfield Senior Living & Rehab LLCCertificate of Waiver, Skilled nursing or nursing facility14D2142419
- Horizon HealthcareCertificate of Waiver, Rural health clinic14D1091373
- Marion Eye Center, L T DCertificate of Waiver, Physician office14D2175683
- New Hope SchoolCertificate of Waiver, School or student health service14D2242945
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-0454 in Fairfield?
14D2140408, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-0454 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2140408 expire?
The CMS file lists November 20, 2027 as the certificate expiration date; the certificate took effect November 21, 2025.