CLIA lab

CLIA 04D2182819: Freedom Pharmacy LLC

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

CLIA number 04D2182819 belongs to Freedom Pharmacy LLC in Mena, AR.

Certificate of Waiver, effective April 27, 2026, expires April 26, 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
April 27, 2026
Certificate expiration
April 26, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 27, 2020
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
04D2182819
Lab name
Freedom Pharmacy LLC
Address
710 4th Street, Mena, AR 71953
Phone
(479) 437-3089
Fax
(479) 437-3842

Annual test volume the lab reported

Waived tests
150

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

Other labs in Mena, AR

Related

Questions

What is the CLIA number for Freedom Pharmacy LLC in Mena?

04D2182819, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Freedom Pharmacy LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2182819 expire?

The CMS file lists April 26, 2028 as the certificate expiration date; the certificate took effect April 27, 2026.

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