CLIA lab
CLIA 04D2239760: Walgreens #09593
Bella Vista, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2239760 belongs to Walgreens #09593 in Bella Vista, AR.
Certificate of Waiver, effective October 14, 2025, expires October 13, 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
- October 14, 2025
- Certificate expiration
- October 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 14, 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
- 04D2239760
- Lab name
- Walgreens #09593
- Address
- 3499 Bella Vista Way, Bella Vista, AR 72714
- Phone
- (479) 273-9136
- Fax
- (479) 273-9155
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 Bella Vista, AR
- City of Bella Vista Ambulance ServiceCertificate of Waiver, Other04D0937397
- Concordia Nursing and RehabCertificate of Waiver, Other04D0468721
- Highlands of Bella Vista Health and RehabCertificate of Waiver, Skilled nursing or nursing facility04D1025411
- Hull DermatologyCertificate of Compliance, Physician office04D2166077
- Mercy Bella VistaCertificate of Compliance, Hospital04D2070630
- Mercy Bella Vista ClinicCertificate of Waiver, Physician office04D2068871
- Mercy Clinic CardiologyCertificate of Waiver, Physician office04D0724198
- True Dermatology PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office04D2104614
Related
Questions
What is the CLIA number for Walgreens #09593 in Bella Vista?
04D2239760, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #09593 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2239760 expire?
The CMS file lists October 13, 2027 as the certificate expiration date; the certificate took effect October 14, 2025.