CLIA lab
CLIA 04D2137892: Teasley Drug
Gravette, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2137892 belongs to Teasley Drug in Gravette, AR.
Certificate of Waiver, effective October 5, 2025, expires October 4, 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 5, 2025
- Certificate expiration
- October 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 5, 2017
- 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
- 04D2137892
- Lab name
- Teasley Drug
- Address
- 205 Altanta SE, Gravette, AR 72736
- Phone
- (479) 787-5966
- Fax
- (479) 787-5393
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.
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Related
Questions
What is the CLIA number for Teasley Drug in Gravette?
04D2137892, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Teasley Drug hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2137892 expire?
The CMS file lists October 4, 2027 as the certificate expiration date; the certificate took effect October 5, 2025.