04D2063283 CLIA NUMBER - WALGREENS #10059

Laboratory Demographics

  • CLIA Code: 04D2063283
  • Facility Name: WALGREENS #10059
  • Facility Address: 1325 W MAIN ST
    CABOT, AR
    ZIP 72023
  • Facility Phone: 501 941-3131
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CASSANDRA BEGGETT
  • NPI Number: 1083733224
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2063283
LAB Type Pharmacy
Facility Name WALGREENS #10059
Street 1325 W MAIN ST
City CABOT
State AR
ZIP 72023
Phone 501 941-3131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director CASSANDRA BEGGETT

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