CLIA lab

CLIA 36D2121892: Wal-Mart Stores East, LP DBA

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

CLIA number 36D2121892 belongs to Wal-Mart Stores East, LP DBA in Millersburg, OH.

Certificate of Waiver, effective November 16, 2024, expires November 15, 2026.

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
November 16, 2024
Certificate expiration
November 15, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 16, 2016
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
36D2121892
Lab name
Wal-Mart Stores East, LP DBA
Additional name
Wal-Mart Pharmacy #10-1724
Address
1640 S Washington Street, Millersburg, OH 44654
Phone
(479) 258-7034
Fax
(479) 204-0980

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 Wal-Mart Stores East, LP DBA in Millersburg?

36D2121892, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wal-Mart Stores East, LP DBA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2121892 expire?

The CMS file lists November 15, 2026 as the certificate expiration date; the certificate took effect November 16, 2024.

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