CLIA lab

CLIA 04D2222073: Walgreens #12912

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

CLIA number 04D2222073 belongs to Walgreens #12912 in Greenwood, 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
April 27, 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
04D2222073
Lab name
Walgreens #12912
Address
705 W Center St, Greenwood, AR 72936
Phone
(479) 996-5522
Fax
(479) 996-5528

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 #12912 in Greenwood?

04D2222073, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #12912 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2222073 expire?

The CMS file lists April 26, 2027 as the certificate expiration date; the certificate took effect April 27, 2025.

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