04D2063278 CLIA NUMBER - WALGREENS #07284

Laboratory Demographics

  • CLIA Code: 04D2063278
  • Facility Name: WALGREENS #07284
  • Facility Address: 14820 CANTRELL RD
    LITTLE ROCK, AR
    ZIP 72223
  • Facility Phone: 501 868-6324
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE THOMPSON
  • NPI Number: 1972518231
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2063278
LAB Type Pharmacy
Facility Name WALGREENS #07284
Street 14820 CANTRELL RD
City LITTLE ROCK
State AR
ZIP 72223
Phone 501 868-6324
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Pharmacy
Lab Director STEPHANIE THOMPSON

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