04D2067540 CLIA NUMBER - WALGREENS #11987

Laboratory Demographics

  • CLIA Code: 04D2067540
  • Facility Name: WALGREENS #11987
  • Facility Address: 323 HIGHWAY 64 E
    ALMA, AR
    ZIP 72921
  • Facility Phone: 479 632-9080
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: SARAI ALBUJA
  • NPI Number: 1962652552
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2067540
LAB Type Other - COVID TESTING
Facility Name WALGREENS #11987
Street 323 HIGHWAY 64 E
City ALMA
State AR
ZIP 72921
Phone 479 632-9080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Other - COVID TESTING
Lab Director SARAI ALBUJA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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