CLIA lab
CLIA 04D2130445: Walmart Pharmacy 10-0057
Walnut Ridge, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2130445 belongs to Walmart Pharmacy 10-0057 in Walnut Ridge, AR.
Certificate of Waiver, effective May 9, 2025, expires May 8, 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
- May 9, 2025
- Certificate expiration
- May 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 9, 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
- 04D2130445
- Lab name
- Walmart Pharmacy 10-0057
- Address
- 1600 W Main Street, Walnut Ridge, AR 72476
- Phone
- (870) 886-2806
- Fax
- (870) 886-3307
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 Walnut Ridge, AR
- 1st Choice HealthcareCertificate of Accreditation, Federally qualified health center04D1034083
- Econo-Med of Walnut RidgeCertificate of Waiver, Pharmacy04D2230007
- Family Medical CenterCertificate of Waiver, Rural health clinic04D0691080
- Lawrence County Family Clinic PACertificate of Compliance, Physician office04D0468171
- Lawrence County Family Clinic PA RHCCertificate of Waiver, Other04D0926696
- Lawrence Hall Health & RehabilitationCertificate of Waiver, Skilled nursing or nursing facility04D0881786
- Lawrence Memorial Health Foundation, IncCertificate of Waiver, School or student health service04D2288497
- Lawrence Memorial HospitalCertificate of Accreditation, Hospital02D0049952
- ST Bernards Pregnancy Clinic Walnut RidgeCertificate of Waiver, Physician office04D2281016
- Walnut Ridge Family Medical ClinicCertificate of Compliance, Other practitioner04D2127194
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-0057 in Walnut Ridge?
04D2130445, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-0057 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2130445 expire?
The CMS file lists May 8, 2027 as the certificate expiration date; the certificate took effect May 9, 2025.