CLIA lab
CLIA 04D2065902: Walgreens #10365
Malvern, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2065902 belongs to Walgreens #10365 in Malvern, 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
- September 17, 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
- 04D2065902
- Lab name
- Walgreens #10365
- Address
- 308 S Main St, Malvern, AR 72104
- Phone
- (501) 467-8197
- Fax
- (501) 467-8662
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 Malvern, AR
- Access Medical Clinic Arkansas LTC LLCCertificate of Waiver, Physician office04D2290500
- Appello Health and Wellness Medical ClinicCertificate of Waiver, Physician office04D2314349
- Arbor Oaks Healthcare and RehabCertificate of Waiver, Skilled nursing or nursing facility04D0642192
- Arcare 73Certificate of Waiver, Federally qualified health center04D2285292
- Baptist Health Family Clinic MalvernCertificate for Provider-Performed Microscopy Procedures, Physician office04D0466451
- Baptist Health Medical Center - Hot Spring CountyCertificate of Compliance, Hospital04D0466447
- Brick City Health and WellnessCertificate of Waiver, Other practitioner04D2296434
- Chi ST Vincent Medical Group Hot SpringsCertificate of Waiver, Physician office04D0896929
- Community Care RXCertificate of Waiver, Pharmacy04D2257492
- Healthy Connections Pinnacle - MalvernCertificate of Waiver, Federally qualified health center04D2268214
Related
Questions
What is the CLIA number for Walgreens #10365 in Malvern?
04D2065902, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #10365 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2065902 expire?
The CMS file lists April 26, 2027 as the certificate expiration date; the certificate took effect April 27, 2025.