CLIA lab
CLIA 04D2062967: Walgreens #10240
Bryant, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2062967 belongs to Walgreens #10240 in Bryant, AR.
Certificate of Waiver, effective April 27, 2025, expires April 26, 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
- April 27, 2025
- Certificate expiration
- April 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 24, 2013
- 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
- 04D2062967
- Lab name
- Walgreens #10240
- Address
- 5500 Highway 5 N, Bryant, AR 72022
- Phone
- (501) 847-7420
- Fax
- (501) 847-5436
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.
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Related
Questions
What is the CLIA number for Walgreens #10240 in Bryant?
04D2062967, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #10240 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2062967 expire?
The CMS file lists April 26, 2027 as the certificate expiration date; the certificate took effect April 27, 2025.