CLIA lab

CLIA 47D2139824: Walmart Pharmacy #10-02530

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

CLIA number 47D2139824 belongs to Walmart Pharmacy #10-02530 in Rutland, VT.

Certificate of Waiver, effective November 9, 2025, expires November 8, 2027.

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
November 9, 2025
Certificate expiration
November 8, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 9, 2017
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
47D2139824
Lab name
Walmart Pharmacy #10-02530
Address
1 Rutland Shopping Plaza, Rutland, VT 05701
Phone
(802) 773-1600
Fax
(802) 773-0269

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 #10-02530 in Rutland?

47D2139824, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy #10-02530 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 47D2139824 expire?

The CMS file lists November 8, 2027 as the certificate expiration date; the certificate took effect November 9, 2025.

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