CLIA lab
CLIA 28D2160114: Walmart Pharmacy 10-3173
La Vista, NE. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 28D2160114 belongs to Walmart Pharmacy 10-3173 in La Vista, 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
- 28D2160114
- Lab name
- Walmart Pharmacy 10-3173
- Address
- 9460 Giles Road, La Vista, NE 68128
- Phone
- (402) 513-4214
- Fax
- (402) 513-4208
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 La Vista, NE
- Cedarhurst LavistaCertificate of Waiver, Assisted living facility28D2171899
- Life Care Family Medicine of Bellevue, PCCertificate for Provider-Performed Microscopy Procedures, Physician office28D2021384
- Minuteclinic Diagnostic of Nebraska, LLC #02741Certificate of Waiver, Other28D2072700
- Papillion Fire & EMS Department - Station #1Certificate of Waiver, Ambulance28D2077281
- Prime Home Care LLCCertificate of Waiver, Home health agency28D1020256
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-3173 in La Vista?
28D2160114, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-3173 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 28D2160114 expire?
The CMS file lists January 3, 2027 as the certificate expiration date; the certificate took effect January 4, 2025.