04D2287895 CLIA NUMBER - WALGREENS 07234

Laboratory Demographics

  • CLIA Code: 04D2287895
  • Facility Name: WALGREENS 07234
  • Facility Address: 8300 ROGERS AVE
    FORT SMITH, AR
    ZIP 72903
  • Facility Phone: 479 452-3330
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY L. SHARUM
  • NPI Number: 1811902174
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 04D2287895
LAB Type Pharmacy
Facility Name WALGREENS 07234
Street 8300 ROGERS AVE
City FORT SMITH
State AR
ZIP 72903
Phone 479 452-3330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Pharmacy
Lab Director JEFFREY L. SHARUM

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