CLIA lab
CLIA 04D2219580: Walgreens #15788
Blytheville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2219580 belongs to Walgreens #15788 in Blytheville, AR.
Certificate of Waiver, effective April 6, 2025, expires April 5, 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 6, 2025
- Certificate expiration
- April 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 6, 2021
- 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
- 04D2219580
- Lab name
- Walgreens #15788
- Address
- 900 N 6th St, Blytheville, AR 72315
- Phone
- (870) 763-4507
- Fax
- (870) 762-0782
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 Blytheville, AR
- Access Medical Clinic Arkansas LLCCertificate of Waiver, Physician office04D2289685
- Adult Medicine Clinic of BlythevilleCertificate of Waiver, Physician office04D1053557
- Air-Evac 113Certificate of Waiver, Ambulance04D2064713
- Allied Health Connect Associates LLCCertificate of Waiver, Public health laboratory04D2288387
- B M A BlythevilleCertificate of Waiver, End stage renal disease dialysis facility04D0942154
- Constance H Smith MD PACertificate of Waiver, Physician office04D2049073
- Delta Behavioral Health LLCCertificate of Waiver, Other04D2275300
- Doc Network - Nucor Yamato Stell Clinic, theCertificate of Waiver, Physician office04D2223423
- Everside Health Blytheville Ar ClinicCertificate of Waiver, Other04D2258358
- Family Medicine Assoc of BlythevilleCertificate of Compliance, Physician office04D0467710
Related
Questions
What is the CLIA number for Walgreens #15788 in Blytheville?
04D2219580, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #15788 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2219580 expire?
The CMS file lists April 5, 2027 as the certificate expiration date; the certificate took effect April 6, 2025.