CLIA lab
CLIA 42D2174232: Walmart Pharmacy 10-1017
Manning, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2174232 belongs to Walmart Pharmacy 10-1017 in Manning, SC.
Certificate of Waiver, effective October 29, 2025, expires October 28, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 29, 2025
- Certificate expiration
- October 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 29, 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
- 42D2174232
- Lab name
- Walmart Pharmacy 10-1017
- Address
- 2010 Paxville Hwy, Manning, SC 29102
- Phone
- (803) 435-4381
- Fax
- (803) 435-4747
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 Manning, SC
- Clarendon County Commission Alcohol & Drug AbuseCertificate of Waiver, Other42D1015623
- Clarendon County Detention CenterCertificate of Waiver, Other42D2125949
- Clarendon County Disabilities & Special Needs BDCertificate of Waiver, Other42D1104203
- Clarendon County Fire/RescueCertificate of Waiver, Ambulance42D2184675
- Clarendon County School DistrictCertificate of Waiver, School or student health service42D2214400
- Clarendon Health & Wellness CenterCertificate of Waiver, Physician office42D2133965
- Colonial Family Practice-ManningCertificate of Waiver, Physician office42D0903300
- Eagerton Family PracticeCertificate for Provider-Performed Microscopy Procedures, Physician office42D0248960
- East Palmetto Ambulance Service, LLCCertificate of Waiver, Ambulance42D2092419
- FMC Manning Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility42D0248771
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-1017 in Manning?
42D2174232, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-1017 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2174232 expire?
The CMS file lists October 28, 2027 as the certificate expiration date; the certificate took effect October 29, 2025.