CLIA lab

CLIA 15D2129485: Walmart Pharmacy #10-2544

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

CLIA number 15D2129485 belongs to Walmart Pharmacy #10-2544 in Portage, IN.

Certificate of Waiver, effective April 20, 2025, expires April 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
April 20, 2025
Certificate expiration
April 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 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
15D2129485
Lab name
Walmart Pharmacy #10-2544
Address
6087 US Highway 6, Portage, IN 46368
Phone
(219) 759-5811
Fax
(219) 759-4929

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 #10-2544 in Portage?

15D2129485, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy #10-2544 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2129485 expire?

The CMS file lists April 19, 2027 as the certificate expiration date; the certificate took effect April 20, 2025.

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