04D2013536 CLIA NUMBER - WALGREENS #05993

Laboratory Demographics

  • CLIA Code: 04D2013536
  • Facility Name: WALGREENS #05993
  • Facility Address: 111 NO BOWMAN RD
    LITTLE ROCK, AR
    ZIP 72211
  • Facility Phone: 847 527-4274
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CALEB M. THOMPSON
  • NPI Number: 1467467720
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2013536
LAB Type Pharmacy
Facility Name WALGREENS #05993
Street 111 NO BOWMAN RD
City LITTLE ROCK
State AR
ZIP 72211
Phone 847 527-4274
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Pharmacy
Lab Director CALEB M. THOMPSON

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