04D2061924 CLIA NUMBER - WALGREENS #10170

Laboratory Demographics

  • CLIA Code: 04D2061924
  • Facility Name: WALGREENS #10170
  • Facility Address: 505 SALEM RD
    CONWAY, AR
    ZIP 72034
  • Facility Phone: 501 328-3117
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNA M. THURLKILL
  • NPI Number: 1437249661
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2061924
LAB Type Pharmacy
Facility Name WALGREENS #10170
Street 505 SALEM RD
City CONWAY
State AR
ZIP 72034
Phone 501 328-3117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Pharmacy
Lab Director ANNA M. THURLKILL

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