CLIA lab

CLIA 15D2161042: Walmart Pharmacy #10-1639

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

CLIA number 15D2161042 belongs to Walmart Pharmacy #10-1639 in Rochester, IN.

Certificate of Waiver, effective January 24, 2025, expires January 23, 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
January 24, 2025
Certificate expiration
January 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 24, 2019
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
15D2161042
Lab name
Walmart Pharmacy #10-1639
Address
2395 Main St, Rochester, IN 46975
Phone
(574) 223-9482
Fax
(574) 223-3475

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 #10-1639 in Rochester?

15D2161042, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy #10-1639 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2161042 expire?

The CMS file lists January 23, 2027 as the certificate expiration date; the certificate took effect January 24, 2025.

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