04D2128405 CLIA NUMBER - WALMART PHARMACY 10-0133

Laboratory Demographics

  • CLIA Code: 04D2128405
  • Facility Name: WALMART PHARMACY 10-0133
  • Facility Address: 297 HWY 32 BY-PASS E
    ASHDOWN, AR
    ZIP 71822
  • Facility Phone: 870 898-2142
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA D. CALHOON
  • NPI Number: 1871510271
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2128405
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0133
Street 297 HWY 32 BY-PASS E
City ASHDOWN
State AR
ZIP 71822
Phone 870 898-2142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Pharmacy
Lab Director ANGELA D. CALHOON

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