CLIA lab

CLIA 04D2129833: Walmart Pharmacy 10-0167

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

CLIA number 04D2129833 belongs to Walmart Pharmacy 10-0167 in Crossett, AR.

Certificate of Waiver, effective April 26, 2025, expires April 25, 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
April 26, 2025
Certificate expiration
April 25, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 26, 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
04D2129833
Lab name
Walmart Pharmacy 10-0167
Address
910 Unity Rd, Crossett, AR 71635
Phone
(870) 364-7205
Fax
(870) 364-7207

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 Crossett, AR

Related

Questions

What is the CLIA number for Walmart Pharmacy 10-0167 in Crossett?

04D2129833, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy 10-0167 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2129833 expire?

The CMS file lists April 25, 2027 as the certificate expiration date; the certificate took effect April 26, 2025.

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