CLIA lab
CLIA 04D2128405: Walmart Pharmacy 10-0133
Ashdown, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2128405 belongs to Walmart Pharmacy 10-0133 in Ashdown, 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
- 04D2128405
- Lab name
- Walmart Pharmacy 10-0133
- Address
- 297 Hwy 32 By-Pass E, Ashdown, AR 71822
- Phone
- (870) 898-2142
- Fax
- (870) 898-2263
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 Ashdown, AR
- Cardinal Care ClinicCertificate of Waiver, Physician office04D2313318
- Family Medical AssociatesCertificate for Provider-Performed Microscopy Procedures, Physician office04D1045171
- Little River Memorial HospitalCertificate of Compliance, Hospital04D0465694
- Little River Memorial Hospital Home HealthCertificate of Waiver, Home health agency04D0921731
- Little River Nursing & RehabCertificate of Waiver, Skilled nursing or nursing facility04D0465693
- Memorial Medical ClinicCertificate of Waiver, Physician office04D2158098
- Pleasant Manor Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility04D0874275
- Quadmed Llc/Domtar ClinicCertificate of Waiver, Physician office04D2038315
- Rachel C King, MD PACertificate of Waiver, Physician office04D2066170
- Southern Grace Healthcare IncCertificate of Waiver, Other practitioner04D2240383
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-0133 in Ashdown?
04D2128405, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-0133 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2128405 expire?
The CMS file lists March 28, 2027 as the certificate expiration date; the certificate took effect March 29, 2025.