CLIA lab

CLIA 15D2127942: Walmart Pharmacy #10-1709

Angola, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 15D2127942 belongs to Walmart Pharmacy #10-1709 in Angola, IN.

Certificate of Waiver, effective March 22, 2025, expires March 21, 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
March 22, 2025
Certificate expiration
March 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 22, 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
15D2127942
Lab name
Walmart Pharmacy #10-1709
Address
2016 N Wayne St, Angola, IN 46703
Phone
(260) 665-7033
Fax
(260) 665-6831

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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Related

Questions

What is the CLIA number for Walmart Pharmacy #10-1709 in Angola?

15D2127942, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy #10-1709 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2127942 expire?

The CMS file lists March 21, 2027 as the certificate expiration date; the certificate took effect March 22, 2025.

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