CLIA lab
CLIA 04D2139395: Walmart Pharmacy 10-0016
Van Buren, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2139395 belongs to Walmart Pharmacy 10-0016 in Van Buren, 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
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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
- 04D2139395
- Lab name
- Walmart Pharmacy 10-0016
- Address
- 2214 Fayetteville Rd, Van Buren, AR 72956
- Phone
- (479) 474-5051
- Fax
- (479) 474-2844
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 Van Buren, AR
- Amedisys Home Health Care of ArkansasCertificate of Waiver, Home health agency04D1015042
- Arkansas Occupational Health Clinic - Van BurenCertificate of Waiver, Physician office04D2087233
- Baptist Health - Van BurenCertificate of Registration, Hospital04D0469351
- Baptist Health Family Clinic - Van BurenCertificate of Waiver, Physician office04D0469365
- Baptist Health Urgent Care - Van BurenCertificate of Waiver, Physician office04D2259326
- Clouse Family MedicineCertificate of Waiver, Other practitioner04D2110493
- Crawford Hlthcare & Rehabilitation CTRCertificate of Waiver, Skilled nursing or nursing facility04D0670474
- Harps Pharmacy 352Certificate of Waiver, Pharmacy04D2286899
- Hudson PharmacyCertificate of Waiver, Physician office04D2232203
- Lumina Behavioral HealthCertificate of Waiver, Other04D2233763
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-0016 in Van Buren?
04D2139395, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-0016 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2139395 expire?
The CMS file lists November 1, 2027 as the certificate expiration date; the certificate took effect November 2, 2025.