CLIA lab
CLIA 24D2127812: Walmart Pharmacy 10-1609
Grand Rapids, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2127812 belongs to Walmart Pharmacy 10-1609 in Grand Rapids, MN.
Certificate of Waiver, effective March 20, 2025, expires March 19, 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
- March 20, 2025
- Certificate expiration
- March 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 20, 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
- 24D2127812
- Lab name
- Walmart Pharmacy 10-1609
- Address
- 100 SE 29th Street, Grand Rapids, MN 55744
- Phone
- (218) 326-9401
- Fax
- (218) 326-9271
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 10-1609 in Grand Rapids?
24D2127812, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-1609 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2127812 expire?
The CMS file lists March 19, 2027 as the certificate expiration date; the certificate took effect March 20, 2025.