CLIA lab
CLIA 04D2183244: Collier Drug Store Dickson
Fayetteville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2183244 belongs to Collier Drug Store Dickson in Fayetteville, AR.
Certificate of Waiver, effective May 1, 2026, expires April 30, 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
- May 1, 2026
- Certificate expiration
- April 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 1, 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
- 04D2183244
- Lab name
- Collier Drug Store Dickson
- Address
- 100 W Dickson Street, Fayetteville, AR 72701
- Phone
- (479) 442-6262
- Fax
- (479) 521-9111
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.
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Related
Questions
What is the CLIA number for Collier Drug Store Dickson in Fayetteville?
04D2183244, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Collier Drug Store Dickson hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2183244 expire?
The CMS file lists April 30, 2028 as the certificate expiration date; the certificate took effect May 1, 2026.