CLIA lab

CLIA 04D2126181: Sam's Club Pharmacy 10-8266

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

CLIA number 04D2126181 belongs to Sam's Club Pharmacy 10-8266 in Sherwood, AR.

Certificate of Waiver, effective February 21, 2025, expires February 20, 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
February 21, 2025
Certificate expiration
February 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 21, 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
04D2126181
Lab name
Sam's Club Pharmacy 10-8266
Additional name
Sam's West, Inc
Address
5600 Landers Road, Sherwood, AR 72117
Phone
(501) 955-9451
Fax
(501) 955-2037

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 Sam's Club Pharmacy 10-8266 in Sherwood?

04D2126181, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sam's Club Pharmacy 10-8266 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2126181 expire?

The CMS file lists February 20, 2027 as the certificate expiration date; the certificate took effect February 21, 2025.

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