CLIA lab
CLIA 24D2097908: Walmart Pharmacy 10-2274
Forest Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2097908 belongs to Walmart Pharmacy 10-2274 in Forest Lake, MN.
Certificate of Waiver, effective June 25, 2025, expires June 24, 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
- June 25, 2025
- Certificate expiration
- June 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 25, 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
- 24D2097908
- Lab name
- Walmart Pharmacy 10-2274
- Address
- 200 12th Street SW, Forest Lake, MN 55025
- Phone
- (651) 464-9742
- Fax
- (651) 464-9062
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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- Ailmend Health, LLCCertificate of Waiver, Other practitioner24D2342903
- Allina Health Forest Lake ClinicCertificate of Waiver, Community clinic24D0398200
- Amira Choice Forest Lake LLCCertificate of Waiver, Assisted living facility24D2096782
- Birchwood Arbors LLCCertificate of Waiver, Home health agency24D1031092
- Birchwood Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility24D0672227
- Cub Pharmacy #1634Certificate of Waiver, Pharmacy24D1026912
- Evygabs Healthcare Systems LLCCertificate of Waiver, Assisted living facility24D2292517
- Lakes International Language AcademyCertificate of Waiver, School or student health service24D2233492
- Lakes Life Care CenterCertificate of Waiver, Community clinic24D0891414
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-2274 in Forest Lake?
24D2097908, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-2274 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2097908 expire?
The CMS file lists June 24, 2027 as the certificate expiration date; the certificate took effect June 25, 2025.