CLIA lab

CLIA 42D2179681: Walmart Pharmacy 10-3733

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

CLIA number 42D2179681 belongs to Walmart Pharmacy 10-3733 in Tega Cay, SC.

Certificate of Waiver, effective February 28, 2026, expires February 28, 2028.

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
February 28, 2026
Certificate expiration
February 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 28, 2020
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
42D2179681
Lab name
Walmart Pharmacy 10-3733
Address
1151 Stonecrest Blvd, Tega Cay, SC 29708
Phone
(803) 578-4140
Fax
(803) 578-4122

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 Tega Cay, SC

Related

Questions

What is the CLIA number for Walmart Pharmacy 10-3733 in Tega Cay?

42D2179681, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-3733 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2179681 expire?

The CMS file lists February 28, 2028 as the certificate expiration date; the certificate took effect February 28, 2026.

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