04D2127249 CLIA NUMBER - WALMART PHARMACY 10-2744

Laboratory Demographics

  • CLIA Code: 04D2127249
  • Facility Name: WALMART PHARMACY 10-2744
  • Facility Address: 4900 ROGERS ACE STE 101J
    FORT SMITH, AR
    ZIP 72903
  • Facility Phone: 479 484-9125
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. SAVANNAH VERDIER
  • NPI Number: 1467471441
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2127249
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2744
Street 4900 ROGERS ACE STE 101J
City FORT SMITH
State AR
ZIP 72903
Phone 479 484-9125
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. SAVANNAH VERDIER

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