CLIA lab

CLIA 04D2154375: Icarerx Pharmacy

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

CLIA number 04D2154375 belongs to Icarerx Pharmacy in Newport, 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
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
04D2154375
Lab name
Icarerx Pharmacy
Additional name
RX Hound, Inc
Address
1117 Mclain, Ste 400, Newport, AR 72112
Phone
(870) 523-5555
Fax
(870) 523-6337

Annual test volume the lab reported

Waived tests
200

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

Affiliated CLIA numbers

Other labs in Newport, AR

Related

Questions

What is the CLIA number for Icarerx Pharmacy in Newport?

04D2154375, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Icarerx Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2154375 expire?

The CMS file lists September 10, 2028 as the certificate expiration date; the certificate took effect September 11, 2026.

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