04D2132905 CLIA NUMBER - WALMART PHARMACY 10-0001

Laboratory Demographics

  • CLIA Code: 04D2132905
  • Facility Name: WALMART PHARMACY 10-0001
  • Facility Address: 2110 W WALNUT ST
    ROGERS, AR
    ZIP 72756
  • Facility Phone: 479 636-8238
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AARON WILLIAMS
  • NPI Number: 1285653261
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2132905
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0001
Street 2110 W WALNUT ST
City ROGERS
State AR
ZIP 72756
Phone 479 636-8238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2023
Certificate Expiration Date 6/28/2025
Facility Type Pharmacy
Lab Director AARON WILLIAMS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025