04D2230009 CLIA NUMBER - WALGREENS #15703

Laboratory Demographics

  • CLIA Code: 04D2230009
  • Facility Name: WALGREENS #15703
  • Facility Address: 300 E 8TH ST
    DANVILLE, AR
    ZIP 72833
  • Facility Phone: 479 495-5444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BARTON M. BEGGS
  • NPI Number: 1699858217
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2230009
LAB Type Pharmacy
Facility Name WALGREENS #15703
Street 300 E 8TH ST
City DANVILLE
State AR
ZIP 72833
Phone 479 495-5444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Pharmacy
Lab Director BARTON M. BEGGS

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