CLIA lab
CLIA 24D2097790: Walmart Pharmacy 10-1999
Andover, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2097790 belongs to Walmart Pharmacy 10-1999 in Andover, MN.
Certificate of Waiver, effective June 24, 2025, expires June 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
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
- June 24, 2025
- Certificate expiration
- June 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 24, 2015
- 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
- 24D2097790
- Lab name
- Walmart Pharmacy 10-1999
- Address
- 1851 Bunker Lake Blvd NW, Andover, MN 55304
- Phone
- (763) 354-5720
- Fax
- (763) 354-5714
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 Andover, MN
- Arbor Oaks of Andover, LLCCertificate of Waiver, Assisted living facility24D2060290
- Archlyn's Safe HavenCertificate of Waiver, Assisted living facility24D2350795
- Cherrywood of Andover 1889Certificate of Waiver, Assisted living facility24D2079441
- Cherrywood of Andover 1899Certificate of Waiver, Skilled nursing or nursing facility24D2091944
- Crosstown LandingCertificate of Waiver, Assisted living facility24D2348980
- Fairview Clinics Andover ClinicCertificate of Accreditation, Physician office24D0953063
- Golden Path Home Care Services, LLCCertificate of Waiver, Assisted living facility24D2278618
- Lakeview Homecare LLCCertificate of Waiver, Assisted living facility24D2331321
- Mary T, Inc. Andover OaksCertificate of Waiver, Other24D2293686
- Minuteclinic Diagnostic of Minnesota, PACertificate of Waiver, Other24D1042961
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-1999 in Andover?
24D2097790, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-1999 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2097790 expire?
The CMS file lists June 23, 2027 as the certificate expiration date; the certificate took effect June 24, 2025.