04D2143966 CLIA NUMBER - WALMART PHARMACY 10-4168

Laboratory Demographics

  • CLIA Code: 04D2143966
  • Facility Name: WALMART PHARMACY 10-4168
  • Facility Address: 2003 WEST CENTER STREET
    BEEBE, AR
    ZIP 72012
  • Facility Phone: 501 882-1017
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLISYN E. STROUPE
  • NPI Number: 1669816146
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2143966
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4168
Street 2003 WEST CENTER STREET
City BEEBE
State AR
ZIP 72012
Phone 501 882-1017
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Pharmacy
Lab Director ALLISYN E. STROUPE

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