CLIA lab
CLIA 04D2134421: Walmart Pharmacy 10-0279
De Queen, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2134421 belongs to Walmart Pharmacy 10-0279 in De Queen, AR.
Certificate of Waiver, effective August 2, 2025, expires August 1, 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
- August 2, 2025
- Certificate expiration
- August 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 2, 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
- 04D2134421
- Lab name
- Walmart Pharmacy 10-0279
- Address
- 926 E Collin Raye Dr, De Queen, AR 71832
- Phone
- (870) 642-6921
- Fax
- (870) 642-6815
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 De Queen, AR
- Air-Evac 73Certificate of Waiver, Ambulance04D1089085
- Amedisys Home HealthCertificate of Waiver, Home health agency04D0670583
- Bear Creek HealthcareCertificate of Waiver, Skilled nursing or nursing facility04D0688970
- De Queen Family Medical Associates PLLCCertificate of Waiver, Other practitioner04D2301302
- De Queen Health and Wellness Pharmacy LLCCertificate of Waiver, Pharmacy04D2238228
- Dqh&w Walk in Family Clinic LLCCertificate of Waiver, Other practitioner04D2095475
- Dqhha Equipment & Supply Co IncCertificate of Waiver, Other04D1098529
- Floyd Gonzalez MD PACertificate of Waiver, Physician office04D2162140
- Healthcare ExpressCertificate of Waiver, Other04D2161079
- Healthy Connections, IncCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center04D0976082
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-0279 in De Queen?
04D2134421, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-0279 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2134421 expire?
The CMS file lists August 1, 2027 as the certificate expiration date; the certificate took effect August 2, 2025.