CLIA lab
CLIA 04D2109817: Walmart Pharmacy 10-5780
Paragould, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2109817 belongs to Walmart Pharmacy 10-5780 in Paragould, AR.
Certificate of Waiver, effective March 2, 2026, expires March 1, 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 2, 2026
- Certificate expiration
- March 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 2, 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
- 04D2109817
- Lab name
- Walmart Pharmacy 10-5780
- Address
- 2600 Linwood Drive, Paragould, AR 72450
- Phone
- (479) 258-2243
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 Paragould, AR
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- Alt Total WellnessCertificate of Waiver, Other practitioner04D2342387
- Ammc Fonticiella Medical ClinicCertificate of Waiver, Physician office04D2279986
- Ammc Medical Office Building LaboratoryCertificate of Accreditation, Physician office04D2168243
- Ammc Women's ClinicCertificate of Waiver, Physician office04D2323892
- Arkansas Methodist Medical CenterCertificate of Accreditation, Hospital04D0642285
- Arkansas Methodist Medical CenterCertificate of Accreditation, Ancillary test site04D0642295
- Arkansas Methodist Medical Center Family PracticeCertificate of Waiver, Physician office04D2250279
- Carriage Hill Family Care PLCCertificate for Provider-Performed Microscopy Procedures, Physician office04D2250926
- Centerwell Home HealthCertificate of Waiver, Home health agency04D2050948
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-5780 in Paragould?
04D2109817, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-5780 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2109817 expire?
The CMS file lists March 1, 2028 as the certificate expiration date; the certificate took effect March 2, 2026.