CLIA lab
CLIA 04D2102261: Walmart Pharmacy 10-4654
Marion, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2102261 belongs to Walmart Pharmacy 10-4654 in Marion, AR.
Certificate of Waiver, effective September 18, 2025, expires September 17, 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
- September 18, 2025
- Certificate expiration
- September 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 18, 2015
- 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
- 04D2102261
- Lab name
- Walmart Pharmacy 10-4654
- Address
- 2100 Highway 77, Marion, AR 72364
- Phone
- (479) 273-6418
- Fax
- (479) 204-0980
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Marion, AR
- A & D Health Solutions LLCCertificate of Waiver, Home health agency04D2322806
- Bmmg Desoto Women's Consultants - MarionCertificate of Waiver, Physician office04D2252369
- Community Family Medical, LLCCertificate of Waiver, Physician office04D2072884
- Dierksen HospiceCertificate of Waiver, Hospice04D2322457
- Elite Home HealthCertificate of Waiver, Home health agency04D0700451
- Marion Minor MedicalCertificate of Waiver, Physician office04D2071136
- Marion School District School Based Heath CenterCertificate of Waiver, School or student health service04D2148340
- Mid-South Renal ClinicCertificate of Waiver, Physician office04D0978617
- Mitchell Family Medicine, LLCCertificate of Compliance, Physician office04D2165967
- Pediatric Associates of West Memphis-MarionCertificate of Registration, Physician office04D0965138
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-4654 in Marion?
04D2102261, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-4654 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2102261 expire?
The CMS file lists September 17, 2027 as the certificate expiration date; the certificate took effect September 18, 2025.