CLIA lab

CLIA 04D2223219: Walgreens #12417

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

CLIA number 04D2223219 belongs to Walgreens #12417 in Batesville, AR.

Certificate of Waiver, effective May 5, 2025, expires May 4, 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
May 5, 2025
Certificate expiration
May 4, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 5, 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
04D2223219
Lab name
Walgreens #12417
Address
1045 S Saint Louis St, Batesville, AR 72501
Phone
(870) 307-0262
Fax
(870) 307-0220

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 #12417 in Batesville?

04D2223219, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #12417 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2223219 expire?

The CMS file lists May 4, 2027 as the certificate expiration date; the certificate took effect May 5, 2025.

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