CLIA lab
CLIA 04D0931643: Hickory Hill Pharmacy
Helena, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D0931643 belongs to Hickory Hill Pharmacy in Helena, AR.
Certificate of Waiver, effective August 1, 2025, expires July 31, 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
- August 1, 2025
- Certificate expiration
- July 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 1, 1997
- Facility type
- Mobile lab
- 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
- 04D0931643
- Lab name
- Hickory Hill Pharmacy
- Address
- 109 Hickory Hill Drive, Helena, AR 72342
- Phone
- (870) 338-8351
- Fax
- (870) 714-6125
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Helena, AR
- Crestpark Helena LLCCertificate of Waiver, Skilled nursing or nursing facility04D0467796
- Helena Family Health CenterCertificate of Waiver, Community clinic04D2048130
- Helena Medical ClinicCertificate of Waiver, Ancillary test site04D2152463
- Helena Regional Medical CenterCertificate of Compliance, Hospital04D0467800
- Pillow Clinic P L L CCertificate for Provider-Performed Microscopy Procedures, Rural health clinic04D1025855
- Renal Care Group HelenaCertificate of Waiver, End stage renal disease dialysis facility04D0976196
- Uams East Family Medical CenterCertificate of Waiver, Physician office04D2150844
- Uams Health FMC Helena - Mobile VanCertificate of Waiver, Mobile lab04D2307218
- Webber Family PracticeCertificate for Provider-Performed Microscopy Procedures, Physician office04D0918954
Related
Questions
What is the CLIA number for Hickory Hill Pharmacy in Helena?
04D0931643, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hickory Hill Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D0931643 expire?
The CMS file lists July 31, 2027 as the certificate expiration date; the certificate took effect August 1, 2025.