CLIA lab

CLIA 24D2153852: Walmart Pharmacy 10-2367

Pine City, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 24D2153852 belongs to Walmart Pharmacy 10-2367 in Pine City, MN.

Certificate of Waiver, effective August 30, 2026, expires August 29, 2028.

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
August 30, 2026
Certificate expiration
August 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 30, 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
24D2153852
Lab name
Walmart Pharmacy 10-2367
Address
950 11th Street SW, Pine City, MN 55063
Phone
(320) 629-6225
Fax
(320) 629-6242

Annual test volume the lab reported

Waived tests
1,000

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 10-2367 in Pine City?

24D2153852, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-2367 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2153852 expire?

The CMS file lists August 29, 2028 as the certificate expiration date; the certificate took effect August 30, 2026.

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