CLIA lab
CLIA 04D2139392: Walmart Pharmacy 10-0002
Harrison, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2139392 belongs to Walmart Pharmacy 10-0002 in Harrison, AR.
Certificate of Waiver, effective November 2, 2025, expires November 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 2, 2025
- Certificate expiration
- November 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 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
- 04D2139392
- Lab name
- Walmart Pharmacy 10-0002
- Address
- 161 N Walmart Drive, Harrison, AR 72601
- Phone
- (870) 741-2327
- Fax
- (870) 741-4115
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 Harrison, AR
- Advanced Dermatology & Skin Cancer CenterCertificate for Provider-Performed Microscopy Procedures, Physician office04D2154565
- Air-Evac 40Certificate of Waiver, Ambulance04D1089081
- Baxter Health Ambulatory Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center04D2321911
- Baxter Health Cardiology Clinic at HarrisonCertificate of Waiver, Physician office04D2298323
- Baxter Health Crossroads Family ClinicCertificate for Provider-Performed Microscopy Procedures, End stage renal disease dialysis facility04D1052983
- Baxter Health Harrison Family PracticeCertificate of Waiver, Physician office04D0690634
- Baxter Health Imaging at HarrisonCertificate of Waiver, Ambulatory surgery center04D2332704
- Baxter Health Mcclintock Family ClinicCertificate of Compliance, Physician office04D0468385
- Baxter Health Premier Family ClinicCertificate of Compliance, Physician office04D1050346
- Baxter Health Urology Clinic at HarrisonCertificate for Provider-Performed Microscopy Procedures, Community clinic04D2274760
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-0002 in Harrison?
04D2139392, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-0002 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2139392 expire?
The CMS file lists November 1, 2027 as the certificate expiration date; the certificate took effect November 2, 2025.