CLIA lab
CLIA 52D2257148: Walmart Pharmacy 10-3499
Jefferson, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2257148 belongs to Walmart Pharmacy 10-3499 in Jefferson, 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
- 52D2257148
- Lab name
- Walmart Pharmacy 10-3499
- Address
- 1520 S Main St, Jefferson, WI 53549
- Phone
- (920) 892-2656
- Fax
- (920) 829-2737
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 Jefferson, WI
- Alden Estates of Countryside, IncCertificate of Waiver, Skilled nursing or nursing facility52D0392917
- Dimensions Living of JeffersonCertificate of Waiver, Assisted living facility52D1053066
- Fort Healthcare JeffersonCertificate for Provider-Performed Microscopy Procedures, Physician office52D0392916
- Jefferson County Health Department and WicCertificate of Waiver, Public health laboratory52D0392920
- Jefferson County JailCertificate of Waiver, Other52D2208546
- Jefferson EMSCertificate of Waiver, Ambulance52D0989084
- Jefferson Memory CareCertificate of Waiver, Assisted living facility52D2116154
- Mueller Drugs, IncCertificate of Waiver, Pharmacy52D2185523
- Rainbow Hospice Care IncCertificate of Waiver, Hospice52D0922533
- ST Coletta of WisconsinCertificate of Waiver, Assisted living facility52D2018045
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-3499 in Jefferson?
52D2257148, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-3499 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2257148 expire?
The CMS file lists March 30, 2028 as the certificate expiration date; the certificate took effect March 31, 2026.