CLIA lab
CLIA 04D2063029: Walgreens #10897
Magnolia, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2063029 belongs to Walgreens #10897 in Magnolia, 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 25, 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
- 04D2063029
- Lab name
- Walgreens #10897
- Address
- 1644 E Main St, Magnolia, AR 71753
- Phone
- (870) 234-3493
- Fax
- (870) 234-5841
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.
Other labs in Magnolia, AR
- Baptist Health Family Clinic - MagnoliaCertificate of Waiver, Rural health clinic04D2163725
- Baptist Health Medical Center MagnoliaCertificate of Compliance, Hospital04D0465641
- Beautiful You Magnolia Medical Aesthetics LLCCertificate of Waiver, Other04D2322712
- Chester M Wynn MD PACertificate for Provider-Performed Microscopy Procedures, Physician office04D0880610
- Columbia County Ambulance ServiceCertificate of Waiver, Ambulance04D2198232
- Dynamic MedCertificate of Waiver, Other practitioner04D2292302
- Enhabit HospiceCertificate of Waiver, Hospice04D2119422
- Family Chiropractic CenterCertificate of Waiver, Physician office04D2155022
- Greenhouse Cottages of WentworthCertificate of Waiver, Skilled nursing or nursing facility04D2035914
- Hydroboost Drip and Wellness, LLCCertificate of Waiver, Other04D2343644
Related
Questions
What is the CLIA number for Walgreens #10897 in Magnolia?
04D2063029, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #10897 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2063029 expire?
The CMS file lists April 26, 2027 as the certificate expiration date; the certificate took effect April 27, 2025.