04D2063050 CLIA NUMBER - WALGREENS #10418

Laboratory Demographics

  • CLIA Code: 04D2063050
  • Facility Name: WALGREENS #10418
  • Facility Address: 1004 W COMMERCE
    HOPE, AR
    ZIP 71801
  • Facility Phone: 870 777-4830
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LANA S. BISHOP
  • NPI Number: 1356474449
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2063050
LAB Type Pharmacy
Facility Name WALGREENS #10418
Street 1004 W COMMERCE
City HOPE
State AR
ZIP 71801
Phone 870 777-4830
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 LANA S. BISHOP

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