04D2127870 CLIA NUMBER - WALMART PHARMACY 10-0066

Laboratory Demographics

  • CLIA Code: 04D2127870
  • Facility Name: WALMART PHARMACY 10-0066
  • Facility Address: 230 MARKET STREET
    CLARKSVILLE, AR
    ZIP 72830
  • Facility Phone: 479 754-6169
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH HAWKINS
  • NPI Number: 1407939937
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 04D2127870
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0066
Street 230 MARKET STREET
City CLARKSVILLE
State AR
ZIP 72830
Phone 479 754-6169
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 JOSEPH HAWKINS

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