04D2139521 CLIA NUMBER - WALMART PHARMACY 10-5433

Laboratory Demographics

  • CLIA Code: 04D2139521
  • Facility Name: WALMART PHARMACY 10-5433
  • Facility Address: 3604 N HWY 7
    HOT SPRINGS VILLAGE, AR
    ZIP 71909
  • Facility Phone: 501 318-0902
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. SHAUNA WILSON
  • NPI Number: 1518984921
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2139521
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5433
Street 3604 N HWY 7
City HOT SPRINGS VILLAGE
State AR
ZIP 71909
Phone 501 318-0902
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. SHAUNA WILSON

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