04D2240381 CLIA NUMBER - WALGREENS # 05041

Laboratory Demographics

  • CLIA Code: 04D2240381
  • Facility Name: WALGREENS # 05041
  • Facility Address: 2002 S THOMPSON ST
    SPRINGDALE, AR
    ZIP 72764
  • Facility Phone: 479 756-1355
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LARAMIE S. WALL
  • NPI Number: 1649285909
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2240381
LAB Type Pharmacy
Facility Name WALGREENS # 05041
Street 2002 S THOMPSON ST
City SPRINGDALE
State AR
ZIP 72764
Phone 479 756-1355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2023
Certificate Expiration Date 10/18/2025
Facility Type Pharmacy
Lab Director LARAMIE S. WALL

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: 3/20/2025