04D2140345 CLIA NUMBER - WALMART PHARMACY 10-0348

Laboratory Demographics

  • CLIA Code: 04D2140345
  • Facility Name: WALMART PHARMACY 10-0348
  • Facility Address: 427 HIGHWAY 425 N
    MONTICELLO, AR
    ZIP 71655
  • Facility Phone: 870 367-3559
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON T. RHOADS
  • NPI Number: 1609893080
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2140345
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0348
Street 427 HIGHWAY 425 N
City MONTICELLO
State AR
ZIP 71655
Phone 870 367-3559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Pharmacy
Lab Director BRANDON T. RHOADS

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