CLIA lab

CLIA 04D2037575: Walgreens #09880

Paragould, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 04D2037575 belongs to Walgreens #09880 in Paragould, AR.

Certificate of Waiver, effective January 28, 2025, expires January 27, 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
January 28, 2025
Certificate expiration
January 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 1, 2012
Facility type
Other
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
04D2037575
Lab name
Walgreens #09880
Address
1500 W Kingshighway, Paragould, AR 72450
Phone
(870) 240-8053
Fax
(870) 240-8104

Annual test volume the lab reported

Waived tests
58,400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Paragould, AR

Related

Questions

What is the CLIA number for Walgreens #09880 in Paragould?

04D2037575, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #09880 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2037575 expire?

The CMS file lists January 27, 2027 as the certificate expiration date; the certificate took effect January 28, 2025.

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