CLIA lab

CLIA 04D2127864: Walmart Pharmacy 10-0160

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

CLIA number 04D2127864 belongs to Walmart Pharmacy 10-0160 in Ash Flat, AR.

Certificate of Waiver, effective March 21, 2025, expires March 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
March 21, 2025
Certificate expiration
March 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 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
04D2127864
Lab name
Walmart Pharmacy 10-0160
Address
219 Highway 412, Ash Flat, AR 72513
Phone
(870) 994-2152
Fax
(870) 994-7711

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 Ash Flat, AR

Related

Questions

What is the CLIA number for Walmart Pharmacy 10-0160 in Ash Flat?

04D2127864, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-0160 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2127864 expire?

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

Try it on your own data today.

Free to start. Most teams are using it the same day.