CLIA lab
CLIA 04D2128404: Walmart Pharmacy 10-0024
Jacksonville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2128404 belongs to Walmart Pharmacy 10-0024 in Jacksonville, AR.
Certificate of Waiver, effective March 29, 2025, expires March 28, 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 29, 2025
- Certificate expiration
- March 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 29, 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
- 04D2128404
- Lab name
- Walmart Pharmacy 10-0024
- Address
- 2000 John Harden Dr, Jacksonville, AR 72076
- Phone
- (501) 982-3357
- Fax
- (501) 985-2683
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 Jacksonville, AR
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- Arcare 97Certificate of Waiver, Federally qualified health center04D2322890
- Arcare at Bayou Meto ElementaryCertificate of Waiver, School or student health service04D2196183
- Arcare at Bobby G Lester ElementaryCertificate of Waiver, School or student health service04D2196159
- Arcare at Homer Adkins Pre-SchoolCertificate of Waiver, Federally qualified health center04D2214199
- Arcare at Jacksonville High SchoolCertificate of Waiver, School or student health service04D2196167
- Arcare at Jacksonville Middle SchoolCertificate of Waiver, School or student health service04D2196180
- Arcare at Murrell Taylor ElementaryCertificate of Waiver, Skilled nursing or nursing facility04D2196155
- Arcare at Pinewood ElementaryCertificate of Waiver, School or student health service04D2196163
- Baptist Health Urgent Care-Jacksonville,arCertificate of Waiver, Physician office04D2123529
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-0024 in Jacksonville?
04D2128404, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-0024 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2128404 expire?
The CMS file lists March 28, 2027 as the certificate expiration date; the certificate took effect March 29, 2025.