04D2127837 CLIA NUMBER - WALMART PHARMACY 10-0033

Laboratory Demographics

  • CLIA Code: 04D2127837
  • Facility Name: WALMART PHARMACY 10-0033
  • Facility Address: 1710 S 4TH STREET
    NASHVILLE, AR
    ZIP 71852
  • Facility Phone: 870 845-1573
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HAYDEN WILLIAMS
  • NPI Number: 1598782989
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2127837
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0033
Street 1710 S 4TH STREET
City NASHVILLE
State AR
ZIP 71852
Phone 870 845-1573
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Pharmacy
Lab Director HAYDEN WILLIAMS

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