CLIA lab
CLIA 21D2158572: Walmart Pharmacy 10-1981
California, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2158572 belongs to Walmart Pharmacy 10-1981 in California, MD.
Certificate of Waiver, effective December 3, 2024, expires December 2, 2026.
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
- December 3, 2024
- Certificate expiration
- December 2, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 3, 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
- 21D2158572
- Lab name
- Walmart Pharmacy 10-1981
- Address
- 45485 Miramar Way, California, MD 20619
- Phone
- (301) 737-0611
- Fax
- (301) 862-3374
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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- Clearway Surgery Center of ST Mary's, LLCCertificate of Waiver, Ambulatory surgery center21D2318817
- FMC Lexington ParkCertificate of Waiver, End stage renal disease dialysis facility21D2086561
- Giant Pharmacy #359Certificate of Waiver, Pharmacy21D2145596
- Harris Teeter Pharmacy #97-0487Certificate of Waiver, Other21D2155495
- Medstar Med GRP Southern MD LLC/ Cancer Rec CTRCertificate of Compliance, Physician office21D1083426
- Medstar Shah Medical GRP J Patrick Jarboe Med CTRCertificate of Waiver, Physician office21D2027441
- Medstar Urgent Care LLCCertificate of Waiver, Other21D2169030
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-1981 in California?
21D2158572, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-1981 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2158572 expire?
The CMS file lists December 2, 2026 as the certificate expiration date; the certificate took effect December 3, 2024.