04D2139422 CLIA NUMBER - WALMART PHARMACY 10-0052

Laboratory Demographics

  • CLIA Code: 04D2139422
  • Facility Name: WALMART PHARMACY 10-0052
  • Facility Address: 1601 ALBERT PIKE RD
    HOT SPRINGS, AR
    ZIP 71913
  • Facility Phone: 501 624-0142
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. SUZANNE R. COGBILL
  • NPI Number: 1932128915
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2139422
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0052
Street 1601 ALBERT PIKE RD
City HOT SPRINGS
State AR
ZIP 71913
Phone 501 624-0142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Pharmacy
Lab Director MS. SUZANNE R. COGBILL

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