CLIA lab

CLIA 04D2070906: Walgreens #12500

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

CLIA number 04D2070906 belongs to Walgreens #12500 in Rogers, AR.

Certificate of Waiver, effective January 26, 2025, expires January 25, 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 26, 2025
Certificate expiration
January 25, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 30, 2013
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
04D2070906
Lab name
Walgreens #12500
Address
4206 W New Hope Rd, Rogers, AR 72758
Phone
(479) 621-0958

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 Rogers, AR

Related

Questions

What is the CLIA number for Walgreens #12500 in Rogers?

04D2070906, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #12500 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2070906 expire?

The CMS file lists January 25, 2027 as the certificate expiration date; the certificate took effect January 26, 2025.

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