CLIA lab

CLIA 42D2174267: Walmart Pharmacy 10-624

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

CLIA number 42D2174267 belongs to Walmart Pharmacy 10-624 in Newberry, 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

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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
42D2174267
Lab name
Walmart Pharmacy 10-624
Address
2812 Main Street, Newberry, SC 29108
Phone
(803) 276-2211
Fax
(803) 276-7720

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 Newberry, SC

Related

Questions

What is the CLIA number for Walmart Pharmacy 10-624 in Newberry?

42D2174267, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-624 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2174267 expire?

The CMS file lists October 28, 2027 as the certificate expiration date; the certificate took effect October 29, 2025.

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