04D2013019 CLIA NUMBER - WALGREENS #05237

Laboratory Demographics

  • CLIA Code: 04D2013019
  • Facility Name: WALGREENS #05237
  • Facility Address: 1722 W WALNUT ST
    ROGERS, AR
    ZIP 72756
  • Facility Phone: 479 246-0196
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JANELLE L. DOUGLAS
  • NPI Number: 1558376814
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2013019
LAB Type Pharmacy
Facility Name WALGREENS #05237
Street 1722 W WALNUT ST
City ROGERS
State AR
ZIP 72756
Phone 479 246-0196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Pharmacy
Lab Director JANELLE L. DOUGLAS

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