CLIA lab
CLIA 36D2157806: Walmart Pharmacy #10-5104
Moraine, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2157806 belongs to Walmart Pharmacy #10-5104 in Moraine, OH.
Certificate of Waiver, effective November 14, 2024, expires November 13, 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 14, 2024
- Certificate expiration
- November 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 14, 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
- 36D2157806
- Lab name
- Walmart Pharmacy #10-5104
- Address
- 1701 W Dorothy Lane, Moraine, OH 45439
- Phone
- (937) 643-2481
- Fax
- (937) 643-2411
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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- Compunet Clinical LabsCertificate of Accreditation, Independent36D0350049
- Dmax LTD Medical DeptCertificate of Waiver, Other36D1033319
- EMS Team, LLCCertificate of Waiver, Ambulance36D2252651
- FVC Dayton, LLCCertificate of Waiver, Physician office36D2261265
- Fresenius Vascular Care Dayton ASCCertificate of Waiver, Ambulatory surgery center36D2252881
- Guardian Angel Home Care ofCertificate of Waiver, Home health agency36D1100616
- Health at Home Hospice-Dayton, LLCCertificate of Waiver, Hospice36D2048928
- Onsite Innovations Medical ClinicCertificate of Waiver, Physician office36D2156623
Related
Questions
What is the CLIA number for Walmart Pharmacy #10-5104 in Moraine?
36D2157806, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy #10-5104 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2157806 expire?
The CMS file lists November 13, 2026 as the certificate expiration date; the certificate took effect November 14, 2024.