CLIA lab
CLIA 36D2121919: Wal-Mart Stores East, LP DBA
Mount Vernon, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2121919 belongs to Wal-Mart Stores East, LP DBA in Mount Vernon, 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
- 36D2121919
- Lab name
- Wal-Mart Stores East, LP DBA
- Additional name
- Wal-Mart Pharmacy #10-2149
- Address
- 1575 Coshocton Avenue, Mount Vernon, OH 43050
- 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 Mount Vernon?
36D2121919, 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 36D2121919 expire?
The CMS file lists November 15, 2026 as the certificate expiration date; the certificate took effect November 16, 2024.