04D2127246 CLIA NUMBER - WALMART PHARMACY 10-0318

Laboratory Demographics

  • CLIA Code: 04D2127246
  • Facility Name: WALMART PHARMACY 10-0318
  • Facility Address: 109 WP MALONE DR
    ARKADELPHIA, AR
    ZIP 71923
  • Facility Phone: 870 246-5410
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. LACEY D. GRIFFIN
  • NPI Number: 1902823495
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2127246
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0318
Street 109 WP MALONE DR
City ARKADELPHIA
State AR
ZIP 71923
Phone 870 246-5410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Pharmacy
Lab Director MS. LACEY D. GRIFFIN

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This page was last updated on: 9/29/2025