CLIA lab
CLIA 04D2127867: Walmart Pharmacy 10-0055
Booneville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2127867 belongs to Walmart Pharmacy 10-0055 in Booneville, 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
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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
- 04D2127867
- Lab name
- Walmart Pharmacy 10-0055
- Address
- 1400 East Main Street, Booneville, AR 72927
- Phone
- (479) 675-5341
- Fax
- (479) 675-5344
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 Booneville, AR
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Rural health clinic04D2137349
- Big World Drug Enterprises, IncCertificate of Waiver, Pharmacy04D2256880
- Booneville Human Development CenterCertificate for Provider-Performed Microscopy Procedures, Intermediate care facility for individuals with intellectual disabilities04D0919709
- Booneville School DistrictCertificate of Waiver, School or student health service04D2205676
- Mercy Booneville School Based ClinicCertificate of Waiver, Physician office04D2176027
- Mercy Clinic Primary Care - BoonevilleCertificate of Waiver, Rural health clinic04D2035052
- Mercy Hospital BoonevilleCertificate of Registration, Hospital04D0469307
- Oak Manor Nursing & Rehabilitation Center, IncCertificate of Waiver, Skilled nursing or nursing facility04D0673907
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-0055 in Booneville?
04D2127867, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-0055 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2127867 expire?
The CMS file lists March 20, 2027 as the certificate expiration date; the certificate took effect March 21, 2025.