CLIA lab
CLIA 26D2143243: Walmart Pharmacy 1-65
Sullivan, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 26D2143243 belongs to Walmart Pharmacy 1-65 in Sullivan, MO.
Certificate of Waiver, effective January 26, 2026, expires January 25, 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
- January 26, 2026
- Certificate expiration
- January 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 26, 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
- 26D2143243
- Lab name
- Walmart Pharmacy 1-65
- Address
- 350 Park Ridge Road, Sullivan, MO 63080
- Phone
- (479) 277-2374
- Fax
- (479) 204-9864
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 Sullivan, MO
- Arch Air Medical - Sullivan BaseCertificate of Waiver, Ambulance26D2057928
- BJC Medical Group CardiologyCertificate of Waiver, Physician office26D2163279
- Bel Oak of MeramecCertificate of Waiver, Skilled nursing or nursing facility26D0886725
- Compass Health - SullivanCertificate of Waiver, Federally qualified health center26D2333834
- Dunsford Court Assisted LivingCertificate of Waiver, Assisted living facility26D0953070
- Fresenius Medical Care-SullivanCertificate of Waiver, End stage renal disease dialysis facility26D1093584
- Life Care Center of SullivanCertificate of Waiver, Skilled nursing or nursing facility26D0716476
- Mercy Clinic East CommunitiesCertificate of Waiver, Physician office26D1072033
- Mercy Clinic Sullivan Family MedicineCertificate of Waiver, Physician office26D0961061
- Missouri Baptist Sullivan HospitalCertificate of Accreditation, Hospital26D0437840
Related
Questions
What is the CLIA number for Walmart Pharmacy 1-65 in Sullivan?
26D2143243, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 1-65 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 26D2143243 expire?
The CMS file lists January 25, 2028 as the certificate expiration date; the certificate took effect January 26, 2026.