CLIA lab
CLIA 04D1021319: Lyons Drug Store
Lonoke, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1021319 belongs to Lyons Drug Store in Lonoke, AR.
Certificate of Waiver, effective January 20, 2026, expires January 19, 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
- January 20, 2026
- Certificate expiration
- January 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 20, 2004
- 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
- 04D1021319
- Lab name
- Lyons Drug Store
- Address
- 115 West Front Street, Lonoke, AR 72086
- Phone
- (501) 676-2247
- Fax
- (501) 676-3833
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 Lonoke, AR
- Access Medical Clinic Arkansas LTC LLCCertificate of Waiver, Physician office04D2290495
- Arcare 47Certificate of Waiver, Federally qualified health center04D2072960
- Baptist Health Family Clinic - LonokeCertificate for Provider-Performed Microscopy Procedures, Physician office04D2230681
- Bhfmrc (BH Lonoke School Clinic)Certificate of Waiver, Physician office04D2168238
- Elevate Fingerprinting and Drug TestingCertificate of Waiver, Other04D2320828
- Harmony Health ClinicCertificate of Compliance, Rural health clinic04D2313286
- Lonoke Health and Rehab Center, LLCCertificate of Waiver, Skilled nursing or nursing facility04D0901320
- Lonoke Healthcare Center and Rehab FacilityCertificate of Waiver, Skilled nursing or nursing facility04D2119349
- Options Pregnancy CenterCertificate of Waiver, Other04D2040745
- Remington Ammunition LLCCertificate of Waiver, Industrial04D1047878
Related
Questions
What is the CLIA number for Lyons Drug Store in Lonoke?
04D1021319, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lyons Drug Store hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1021319 expire?
The CMS file lists January 19, 2028 as the certificate expiration date; the certificate took effect January 20, 2026.