CLIA lab
CLIA 04D2139428: Walmart Pharmacy 10-0091
Forrest City, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2139428 belongs to Walmart Pharmacy 10-0091 in Forrest City, AR.
Certificate of Waiver, effective November 3, 2025, expires November 2, 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 3, 2025
- Certificate expiration
- November 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 3, 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
- 04D2139428
- Lab name
- Walmart Pharmacy 10-0091
- Address
- 205 Deadrick Rd, Forrest City, AR 72335
- Phone
- (870) 633-0465
- Fax
- (870) 633-0851
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 Forrest City, AR
- 870 MedicalCertificate of Waiver, Other practitioner04D2346571
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Physician office04D2274126
- Air-Evac 42Certificate of Waiver, Ambulance04D1089082
- Arcare 170Certificate of Waiver, Federally qualified health center04D0467747
- B M A ST Francis CountyCertificate of Waiver, End stage renal disease dialysis facility04D0890899
- Boar's Head Family Health and Wellness CenterCertificate of Waiver, Other04D2104590
- Brandy Davis MD PACertificate for Provider-Performed Microscopy Procedures, Physician office04D1036376
- Centerwell Home HealthCertificate of Waiver, Home health agency04D2116858
- Crestpark Forrest City LLCCertificate of Waiver, Skilled nursing or nursing facility04D0895127
- DR Kumar's Medical Clinic, PACertificate for Provider-Performed Microscopy Procedures, Physician office04D0897668
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-0091 in Forrest City?
04D2139428, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-0091 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2139428 expire?
The CMS file lists November 2, 2027 as the certificate expiration date; the certificate took effect November 3, 2025.