CLIA lab
CLIA 04D2132905: Walmart Pharmacy 10-0001
Rogers, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2132905 belongs to Walmart Pharmacy 10-0001 in Rogers, AR.
Certificate of Waiver, effective June 29, 2025, expires June 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
- June 29, 2025
- Certificate expiration
- June 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 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
- 04D2132905
- Lab name
- Walmart Pharmacy 10-0001
- Address
- 2110 W Walnut St, Rogers, AR 72756
- Phone
- (479) 636-8238
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.
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- Advanced Wound Therapy - Ar LLCCertificate of Waiver, Physician office04D2324551
- Arkansas Children's Northwest-ClinicCertificate of Waiver, Physician office04D2261955
- Ashley Health and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility04D1068896
- Blossoms at Rogers, theCertificate of Waiver, Skilled nursing or nursing facility04D0678828
- Boozman Hof Regional Eye ClinicCertificate of Waiver, Physician office04D0911561
- Boozman-Hof Eye Surgery & Laser CenterCertificate of Waiver, Ambulatory surgery center04D0911562
- CVS Pharmacy 10816Certificate of Waiver, Pharmacy04D2255925
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-0001 in Rogers?
04D2132905, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-0001 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2132905 expire?
The CMS file lists June 28, 2027 as the certificate expiration date; the certificate took effect June 29, 2025.