04D2013446 CLIA NUMBER - WALGREENS #03416

Laboratory Demographics

  • CLIA Code: 04D2013446
  • Facility Name: WALGREENS #03416
  • Facility Address: 4823 JOHN F KENNEDY BLVD
    N L R, AR
    ZIP 72116
  • Facility Phone: 501 771-1971
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH E. ZULFER
  • NPI Number: 1003821364
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2013446
LAB Type Pharmacy
Facility Name WALGREENS #03416
Street 4823 JOHN F KENNEDY BLVD
City N L R
State AR
ZIP 72116
Phone 501 771-1971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Pharmacy
Lab Director SARAH E. ZULFER

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