CLIA lab
CLIA 04D2290910: Walgreens 02364
Jacksonville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2290910 belongs to Walgreens 02364 in Jacksonville, AR.
Certificate of Waiver, effective October 3, 2025, expires October 2, 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 3, 2025
- Certificate expiration
- October 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 2023
- 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
- 04D2290910
- Lab name
- Walgreens 02364
- Address
- 819 W Main St, Jacksonville, AR 72076
- Phone
- (501) 241-0225
- Fax
- (501) 241-0228
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 Jacksonville, AR
- Arcare 111Certificate of Waiver, Federally qualified health center04D2154028
- Arcare 97Certificate of Waiver, Federally qualified health center04D2322890
- Arcare at Bayou Meto ElementaryCertificate of Waiver, School or student health service04D2196183
- Arcare at Bobby G Lester ElementaryCertificate of Waiver, School or student health service04D2196159
- Arcare at Homer Adkins Pre-SchoolCertificate of Waiver, Federally qualified health center04D2214199
- Arcare at Jacksonville High SchoolCertificate of Waiver, School or student health service04D2196167
- Arcare at Jacksonville Middle SchoolCertificate of Waiver, School or student health service04D2196180
- Arcare at Murrell Taylor ElementaryCertificate of Waiver, Skilled nursing or nursing facility04D2196155
- Arcare at Pinewood ElementaryCertificate of Waiver, School or student health service04D2196163
- Baptist Health Urgent Care-Jacksonville,arCertificate of Waiver, Physician office04D2123529
Related
Questions
What is the CLIA number for Walgreens 02364 in Jacksonville?
04D2290910, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens 02364 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2290910 expire?
The CMS file lists October 2, 2027 as the certificate expiration date; the certificate took effect October 3, 2025.