CLIA lab
CLIA 04D2139510: Walmart Pharmacy 10-6971
Pea Ridge, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2139510 belongs to Walmart Pharmacy 10-6971 in Pea Ridge, AR.
Certificate of Waiver, effective November 6, 2025, expires November 5, 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 6, 2025
- Certificate expiration
- November 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 6, 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
- 04D2139510
- Lab name
- Walmart Pharmacy 10-6971
- Address
- 240 Slack Street, Pea Ridge, AR 72751
- Phone
- (479) 451-9008
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 Pea Ridge, AR
- Arcare 135Certificate of Waiver, Federally qualified health center04D2178519
- Community Clinic Pea RidgeCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center04D2190190
- Mercy Clinic - Pea RidgeCertificate of Waiver, Physician office04D2136062
- Pea Ridge Urgent Care ClinicCertificate of Accreditation, Physician office04D2300073
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-6971 in Pea Ridge?
04D2139510, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-6971 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2139510 expire?
The CMS file lists November 5, 2027 as the certificate expiration date; the certificate took effect November 6, 2025.