CLIA lab
CLIA 42D2191109: Walmart Pharmacy 10-5378
Cayce, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2191109 belongs to Walmart Pharmacy 10-5378 in Cayce, SC.
Certificate of Waiver, effective August 24, 2026, expires August 23, 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
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
- August 24, 2026
- Certificate expiration
- August 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 24, 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
- 42D2191109
- Lab name
- Walmart Pharmacy 10-5378
- Address
- 1355 Knox Abbott Drive, Cayce, SC 29033
- Phone
- (803) 223-0762
- Fax
- (479) 204-0980
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 Cayce, SC
- Active Day of CayceCertificate of Waiver, Other42D2270196
- Alliance Medical Service, LLCCertificate of Waiver, Ambulance42D2189818
- First Priority, IncCertificate of Waiver, Ambulance42D2059347
- LMC Occupational HealthCertificate of Waiver, Physician office42D2312468
- Level Up Healthcare Academy, LLCCertificate of Waiver, School or student health service42D2335894
- Lexington Family Practice Otarre PointeCertificate of Accreditation, Physician office42D2085192
- Lexington Health CayceCertificate of Accreditation, Ancillary test site42D2296686
- Lexington Health Cayce IdtfCertificate of Waiver, Independent42D2292821
- Lexington Regional Rehabilitation HospitalCertificate of Waiver, Hospital42D2278758
- Oak Street Health West ColumbiaCertificate of Waiver, Physician office42D2297689
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-5378 in Cayce?
42D2191109, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-5378 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2191109 expire?
The CMS file lists August 23, 2028 as the certificate expiration date; the certificate took effect August 24, 2026.