CLIA lab
CLIA 04D2130447: Walmart Pharmacy 10-0714
West Helena, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2130447 belongs to Walmart Pharmacy 10-0714 in West Helena, 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
- 04D2130447
- Lab name
- Walmart Pharmacy 10-0714
- Address
- 602 Shelia Street, West Helena, AR 72390
- Phone
- (870) 572-6741
- Fax
- (870) 572-4282
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 West Helena, AR
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-0714 in West Helena?
04D2130447, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-0714 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2130447 expire?
The CMS file lists May 8, 2027 as the certificate expiration date; the certificate took effect May 9, 2025.