04D2139513 CLIA NUMBER - WALMART PHARMACY 10-5706

Laboratory Demographics

  • CLIA Code: 04D2139513
  • Facility Name: WALMART PHARMACY 10-5706
  • Facility Address: 700 S BOWMAN RD
    LITTLE ROCK, AR
    ZIP 72211
  • Facility Phone: 501 859-8710
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. ELISABETH BROOKS
  • NPI Number: 1124377437
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2139513
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5706
Street 700 S BOWMAN RD
City LITTLE ROCK
State AR
ZIP 72211
Phone 501 859-8710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Pharmacy
Lab Director MS. ELISABETH BROOKS

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: 9/29/2025