CLIA lab

CLIA 28D2160110: Walmart Pharmacy 10-2847

Bellevue, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 28D2160110 belongs to Walmart Pharmacy 10-2847 in Bellevue, NE.

Certificate of Waiver, effective January 4, 2025, expires January 3, 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
January 4, 2025
Certificate expiration
January 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 4, 2019
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
28D2160110
Lab name
Walmart Pharmacy 10-2847
Address
10504 S 15th Street, Bellevue, NE 68123
Phone
(402) 292-0463
Fax
(402) 292-6612

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 10-2847 in Bellevue?

28D2160110, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-2847 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 28D2160110 expire?

The CMS file lists January 3, 2027 as the certificate expiration date; the certificate took effect January 4, 2025.

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