CLIA lab

CLIA 45D2117184: Walmart Pharmacy 10-214

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

CLIA number 45D2117184 belongs to Walmart Pharmacy 10-214 in Jasper, TX.

Certificate of Waiver, effective August 10, 2026, expires August 9, 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 10, 2026
Certificate expiration
August 9, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 10, 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
45D2117184
Lab name
Walmart Pharmacy 10-214
Address
800 W Gibson St, Jasper, TX 75951
Phone
(409) 384-7200
Fax
(409) 489-1328

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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Questions

What is the CLIA number for Walmart Pharmacy 10-214 in Jasper?

45D2117184, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-214 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 45D2117184 expire?

The CMS file lists August 9, 2028 as the certificate expiration date; the certificate took effect August 10, 2026.

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