CLIA lab
CLIA 04D2154320: Amity Road Pharmacy
Conway, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2154320 belongs to Amity Road Pharmacy in Conway, AR.
Certificate of Waiver, effective September 11, 2026, expires September 10, 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
- September 11, 2026
- Certificate expiration
- September 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 11, 2018
- 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
- 04D2154320
- Lab name
- Amity Road Pharmacy
- Address
- 810 Amity Rd, Suite 101, Conway, AR 72032
- Phone
- (501) 358-3863
- Fax
- (501) 358-3865
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.
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- Arcare 24Certificate of Waiver, Federally qualified health center04D2034996
- Aristotle Diagnostic Laboratories LLCCertificate of Accreditation, Independent04D2253867
- Arkansas DermatologyCertificate of Compliance, Physician office04D2028520
- Arkansas Heart Hospital Clinic - ConwayCertificate of Waiver, Physician office04D2090186
- Arkansas Pediatrics of ConwayCertificate of Compliance, Physician office04D0913091
- Arkansas Urology - ConwayCertificate for Provider-Performed Microscopy Procedures, Physician office04D2140908
- Aveon Renal Care, LLCCertificate of Waiver, End stage renal disease dialysis facility04D2338583
- B Brooks Lawrence MD PACertificate for Provider-Performed Microscopy Procedures, Physician office04D2070328
Related
Questions
What is the CLIA number for Amity Road Pharmacy in Conway?
04D2154320, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Amity Road Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2154320 expire?
The CMS file lists September 10, 2028 as the certificate expiration date; the certificate took effect September 11, 2026.