04D2022701 CLIA NUMBER - WALGREENS #07283

Laboratory Demographics

  • CLIA Code: 04D2022701
  • Facility Name: WALGREENS #07283
  • Facility Address: 1404 ALBERT PIKE RD
    HOT SPRINGS, AR
    ZIP 71913
  • Facility Phone: 501 318-1248
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOE L. BENTON
  • NPI Number: 1376559765
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2022701
LAB Type Pharmacy
Facility Name WALGREENS #07283
Street 1404 ALBERT PIKE RD
City HOT SPRINGS
State AR
ZIP 71913
Phone 501 318-1248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Pharmacy
Lab Director JOE L. BENTON

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