CLIA lab
CLIA 15D2129515: Walmart Pharmacy #10-0617
Sullivan, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2129515 belongs to Walmart Pharmacy #10-0617 in Sullivan, 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
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
- 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
- 15D2129515
- Lab name
- Walmart Pharmacy #10-0617
- Address
- 757 W Wolfe St, Sullivan, IN 47882
- Phone
- (812) 268-4626
- Fax
- (812) 268-4731
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 Sullivan, IN
- Breckendridge Health & RehabilitationCertificate of Waiver, Skilled nursing or nursing facility15D0362148
- Breckenridge CommonsCertificate of Waiver, Assisted living facility15D2071122
- Family Practice AssociatesCertificate of Waiver, Physician office15D0991342
- Medical Associates of Terre Haute, LLCCertificate of Waiver, Physician office15D2175272
- Mso Clinics Inc-D/B/A Lakeside Family MedicalCertificate of Waiver, Physician office15D2084371
- Mso Clinics Inc-D/B/A Quick CareCertificate of Waiver, Physician office15D2146817
- Qcc/Sullivan County JailCertificate of Waiver, Other15D2203378
- Scch- Health AnnexCertificate of Waiver, Physician office15D2319878
- Sullivan County Ambulance ServiceCertificate of Waiver, Other15D0862473
- Sullivan County Community HospitalCertificate of Accreditation, Hospital15D0362144
Related
Questions
What is the CLIA number for Walmart Pharmacy #10-0617 in Sullivan?
15D2129515, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy #10-0617 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2129515 expire?
The CMS file lists April 19, 2027 as the certificate expiration date; the certificate took effect April 20, 2025.