CLIA lab

CLIA 36D2172494: Walmart Pharmacy #10-1519

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

CLIA number 36D2172494 belongs to Walmart Pharmacy #10-1519 in Jackson, OH.

Certificate of Waiver, effective September 24, 2025, expires September 23, 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
September 24, 2025
Certificate expiration
September 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 24, 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
36D2172494
Lab name
Walmart Pharmacy #10-1519
Address
100 Walmart Dr, Jackson, OH 45640
Phone
(740) 288-2700
Fax
(479) 204-9854

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 Jackson, OH

Related

Questions

What is the CLIA number for Walmart Pharmacy #10-1519 in Jackson?

36D2172494, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy #10-1519 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D2172494 expire?

The CMS file lists September 23, 2027 as the certificate expiration date; the certificate took effect September 24, 2025.

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