CLIA lab
CLIA 04D2013446: Walgreens #03416
N L R, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2013446 belongs to Walgreens #03416 in N L R, AR.
Certificate of Waiver, effective June 8, 2025, expires June 7, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 8, 2025
- Certificate expiration
- June 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 21, 2010
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2013446
- Lab name
- Walgreens #03416
- Address
- 4823 John F Kennedy Blvd, N L R, AR 72116
- Phone
- (501) 771-1971
- Fax
- (501) 791-7046
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Walgreens #03416 in N L R?
04D2013446, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #03416 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2013446 expire?
The CMS file lists June 7, 2027 as the certificate expiration date; the certificate took effect June 8, 2025.