CLIA lab
CLIA 04D2309483: Walgreens 21511
Crossett, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2309483 belongs to Walgreens 21511 in Crossett, AR.
Certificate of Waiver, effective August 15, 2026, expires August 14, 2028.
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
- August 15, 2026
- Certificate expiration
- August 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 15, 2024
- 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
- 04D2309483
- Lab name
- Walgreens 21511
- Address
- 1600 Dr Martin Luther King Jr Drive, Crossett, AR 71635
- Phone
- (870) 364-8220
- Fax
- (870) 364-6904
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 Crossett, AR
- Acmc Family Home HealthCertificate of Waiver, Home health agency04D0710997
- Ashley County Medical CenterCertificate of Accreditation, Hospital04D0701990
- Ashley DialysisCertificate of Waiver, End stage renal disease dialysis facility04D0987053
- Ashley Family ClinicCertificate of Waiver, Physician office04D2166125
- Ashley Health ServicesCertificate of Waiver, Rural health clinic04D0994214
- Ashley Women's ServicesCertificate of Waiver, Hospital04D0971493
- Central Arkansas Radiation Therapy InstituteCertificate of Accreditation, Physician office04D2177408
- City of Crossett Fire Dept Paramedic Ambulance SVCertificate of Waiver, Ambulance04D2049594
- Family Clinic of Ashley County PACertificate of Compliance, Physician office04D0465341
- Gammel's Clinic PharmacyCertificate of Waiver, Pharmacy04D0952061
Related
Questions
What is the CLIA number for Walgreens 21511 in Crossett?
04D2309483, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens 21511 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2309483 expire?
The CMS file lists August 14, 2028 as the certificate expiration date; the certificate took effect August 15, 2026.