CLIA lab

CLIA 04D2063055: Walgreens #15702

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

CLIA number 04D2063055 belongs to Walgreens #15702 in Camden, AR.

Certificate of Waiver, effective August 29, 2025, expires August 28, 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
August 29, 2025
Certificate expiration
August 28, 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
04D2063055
Lab name
Walgreens #15702
Address
424 California Ave SW, Camden, AR 71701
Phone
(870) 836-4157
Fax
(870) 836-0962

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 #15702 in Camden?

04D2063055, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #15702 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2063055 expire?

The CMS file lists August 28, 2027 as the certificate expiration date; the certificate took effect August 29, 2025.

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