04D2127841 CLIA NUMBER - WALMART PHARMACY 10-0119

Laboratory Demographics

  • CLIA Code: 04D2127841
  • Facility Name: WALMART PHARMACY 10-0119
  • Facility Address: 3150 HARRISON STREET
    BATESVILLE, AR
    ZIP 72501
  • Facility Phone: 870 793-4464
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES C. HALL
  • NPI Number: 1790702181
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2127841
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0119
Street 3150 HARRISON STREET
City BATESVILLE
State AR
ZIP 72501
Phone 870 793-4464
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 JAMES C. HALL

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