04D2127869 CLIA NUMBER - WALMART PHARMACY 10-0157

Laboratory Demographics

  • CLIA Code: 04D2127869
  • Facility Name: WALMART PHARMACY 10-0157
  • Facility Address: 3509 E RACE AVE
    SEARCY, AR
    ZIP 72143
  • Facility Phone: 501 268-4946
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATRICIA WILLIAMS
  • NPI Number: 1164449559
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2127869
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0157
Street 3509 E RACE AVE
City SEARCY
State AR
ZIP 72143
Phone 501 268-4946
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Pharmacy
Lab Director PATRICIA WILLIAMS

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