CLIA lab

CLIA 15D2144683: Walmart Pharmacy #10-0566

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

CLIA number 15D2144683 belongs to Walmart Pharmacy #10-0566 in Boonville, IN.

Certificate of Waiver, effective February 21, 2026, expires February 20, 2028.

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
February 21, 2026
Certificate expiration
February 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 21, 2018
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
15D2144683
Lab name
Walmart Pharmacy #10-0566
Address
1115 American Way, Boonville, IN 47601
Phone
(812) 897-5964
Fax
(812) 897-2644

Annual test volume the lab reported

Waived tests
2,880

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 #10-0566 in Boonville?

15D2144683, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy #10-0566 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2144683 expire?

The CMS file lists February 20, 2028 as the certificate expiration date; the certificate took effect February 21, 2026.

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