CLIA lab
CLIA 19D2129667: Walmart Pharmacy 10-116
Vivian, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D2129667 belongs to Walmart Pharmacy 10-116 in Vivian, LA.
Certificate of Waiver, effective April 24, 2025, expires April 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
- April 24, 2025
- Certificate expiration
- April 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 24, 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
- 19D2129667
- Lab name
- Walmart Pharmacy 10-116
- Address
- 929 S Pine St, Vivian, LA 71082
- Phone
- (318) 375-4510
- Fax
- (318) 375-5928
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 Vivian, LA
- Fresenius Kidney Care North Caddo Dialsysis CenterCertificate of Waiver, End stage renal disease dialysis facility19D2148338
- Ncmc Medical & SurgicalCertificate of Compliance, Rural health clinic19D0694058
- North Caddo Medical CenterCertificate of Compliance, Other19D0463303
- North Caddo Medical CenterCertificate of Compliance, Hospital19D1094011
- North Caddo Medical Health PlexCertificate of Waiver, Community clinic19D0983441
- Vivian Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility19D0672321
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-116 in Vivian?
19D2129667, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-116 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D2129667 expire?
The CMS file lists April 23, 2027 as the certificate expiration date; the certificate took effect April 24, 2025.