CLIA lab
CLIA 45D2117044: Walmart Pharmacy 10-804
Mineral Wells, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2117044 belongs to Walmart Pharmacy 10-804 in Mineral Wells, TX.
Certificate of Waiver, effective August 8, 2026, expires August 7, 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
- August 8, 2026
- Certificate expiration
- August 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 8, 2016
- 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
- 45D2117044
- Lab name
- Walmart Pharmacy 10-804
- Address
- 601 N FM 1821, Mineral Wells, TX 76067
- Phone
- (940) 325-9401
- Fax
- (940) 325-1268
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.
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Related
Questions
What is the CLIA number for Walmart Pharmacy 10-804 in Mineral Wells?
45D2117044, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-804 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2117044 expire?
The CMS file lists August 7, 2028 as the certificate expiration date; the certificate took effect August 8, 2026.