CLIA lab

CLIA 04D1017082: Medicine Shoppe,the

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

CLIA number 04D1017082 belongs to Medicine Shoppe,the in Jonesboro, AR.

Certificate of Waiver, effective September 16, 2025, expires September 15, 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
September 16, 2025
Certificate expiration
September 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 16, 2003
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
04D1017082
Lab name
Medicine Shoppe,the
Address
325 Southwest Drive, Jonesboro, AR 72401
Phone
(870) 935-1340
Fax
(870) 935-3329

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Jonesboro, AR

Related

Questions

What is the CLIA number for Medicine Shoppe,the in Jonesboro?

04D1017082, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Medicine Shoppe,the hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D1017082 expire?

The CMS file lists September 15, 2027 as the certificate expiration date; the certificate took effect September 16, 2025.

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