CLIA lab
CLIA 04D2127259: Walmart Pharmacy 10-1114
Mountain View, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2127259 belongs to Walmart Pharmacy 10-1114 in Mountain View, AR.
Certificate of Waiver, effective March 10, 2025, expires March 9, 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
- March 10, 2025
- Certificate expiration
- March 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 10, 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
- 04D2127259
- Lab name
- Walmart Pharmacy 10-1114
- Address
- 409 Sylamore Ave, Mountain View, AR 72560
- Phone
- (870) 269-4295
- Fax
- (870) 269-4083
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 Mountain View, AR
- Amedisys HH of Mountain ViewCertificate of Waiver, Home health agency04D0676334
- Baxter Health Family Clinic at Mountain ViewCertificate of Waiver, Community clinic04D2109813
- Baxter Health Main Street Family ClinicCertificate of Waiver, Community clinic04D2107523
- Blossoms at Mountain ViewCertificate of Waiver, Skilled nursing or nursing facility04D0917452
- Blossoms at Mountain View Assisted Living, theCertificate of Waiver, Assisted living facility04D2195444
- Boston Mountain Rural Health Center - MTN ViewCertificate of Waiver, Federally qualified health center04D2124511
- DR Andys Family Practice, PLLCCertificate of Waiver, Physician office04D1105574
- Fletcher Chiropractic LLCCertificate of Waiver, Other practitioner04D2325971
- James Zini DOCertificate for Provider-Performed Microscopy Procedures, Physician office04D0468320
- Mitchell's Main Street PharmacyCertificate of Waiver, Pharmacy04D2194404
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-1114 in Mountain View?
04D2127259, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-1114 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2127259 expire?
The CMS file lists March 9, 2027 as the certificate expiration date; the certificate took effect March 10, 2025.