04D2070954 CLIA NUMBER - WALGREENS #12670

Laboratory Demographics

  • CLIA Code: 04D2070954
  • Facility Name: WALGREENS #12670
  • Facility Address: 3234 E ROBINSON AVE
    SPRINGDALE, AR
    ZIP 72764
  • Facility Phone: 479 756-4368
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRITTANY L. GASAWAY
  • NPI Number: 1447498555
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2070954
LAB Type Pharmacy
Facility Name WALGREENS #12670
Street 3234 E ROBINSON AVE
City SPRINGDALE
State AR
ZIP 72764
Phone 479 756-4368
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Pharmacy
Lab Director BRITTANY L. GASAWAY

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