CLIA lab

CLIA 46D2120653: Walmart Pharmacy 10-4689

Cedar Hills, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 46D2120653 belongs to Walmart Pharmacy 10-4689 in Cedar Hills, UT.

Certificate of Waiver, effective October 20, 2026, expires October 19, 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
October 20, 2026
Certificate expiration
October 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 20, 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
46D2120653
Lab name
Walmart Pharmacy 10-4689
Address
4689 W Cedar Hills Dr, Cedar Hills, UT 84062
Phone
(801) 756-5210
Fax
(801) 756-5218

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Cedar Hills, UT

Related

Questions

What is the CLIA number for Walmart Pharmacy 10-4689 in Cedar Hills?

46D2120653, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-4689 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 46D2120653 expire?

The CMS file lists October 19, 2028 as the certificate expiration date; the certificate took effect October 20, 2026.

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