CLIA lab
CLIA 52D2257071: Walmart Pharmacy 10-3497
Plymouth, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2257071 belongs to Walmart Pharmacy 10-3497 in Plymouth, WI.
Certificate of Waiver, effective March 31, 2026, expires March 30, 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
- March 31, 2026
- Certificate expiration
- March 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 31, 2022
- 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
- 52D2257071
- Lab name
- Walmart Pharmacy 10-3497
- Address
- 428 Walton Dr, Plymouth, WI 53073
- Phone
- (262) 767-1902
- Fax
- (262) 767-9629
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 Plymouth, WI
- Advanced EyecareCertificate of Waiver, Physician office52D2249172
- Ahc Plymouth ClinicCertificate of Waiver, Physician office52D2030969
- Anovia Health PlymouthCertificate of Waiver, Community clinic52D2349148
- Plymouth Clinic LabCertificate of Waiver, Physician office52D2316375
- Plymouth Fire Dept Ambulance SquadCertificate of Waiver, Ambulance52D0989948
- Plymouth Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D1031655
- Plymouth School DistrictCertificate of Waiver, School or student health service52D2226809
- Prevea Health- Lakeland UniversityCertificate of Waiver, School or student health service52D2190573
- Prevea Plymouth Family PracticeCertificate for Provider-Performed Microscopy Procedures, Physician office52D2007277
- Rocky Knoll Health Care FacilityCertificate of Waiver, Skilled nursing or nursing facility52D0039069
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-3497 in Plymouth?
52D2257071, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-3497 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2257071 expire?
The CMS file lists March 30, 2028 as the certificate expiration date; the certificate took effect March 31, 2026.