04D2037572 CLIA NUMBER - WALGREENS 01952

Laboratory Demographics

  • CLIA Code: 04D2037572
  • Facility Name: WALGREENS 01952
  • Facility Address: 1330 S CARAWAY RD
    JONESBORO, AR
    ZIP 72401
  • Facility Phone: 870 268-1442
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERRY D. LLOYD
  • NPI Number: 1306852058
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2037572
LAB Type Pharmacy
Facility Name WALGREENS 01952
Street 1330 S CARAWAY RD
City JONESBORO
State AR
ZIP 72401
Phone 870 268-1442
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2023
Certificate Expiration Date 8/17/2025
Facility Type Pharmacy
Lab Director TERRY D. LLOYD

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This page was last updated on: 6/4/2025