CLIA lab
CLIA 04D2190812: Coleman Pharmacy
Fort Smith, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2190812 belongs to Coleman Pharmacy in Fort Smith, AR.
Certificate of Waiver, effective August 19, 2026, expires August 18, 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
- August 19, 2026
- Certificate expiration
- August 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 19, 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
- 04D2190812
- Lab name
- Coleman Pharmacy
- Address
- 3610 Grand Ave, Fort Smith, AR 72904
- Phone
- (479) 783-5171
- Fax
- (479) 783-0433
Annual test volume the lab reported
- Waived tests
- 7,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Anderson Discount PharmacyCertificate of Waiver, Pharmacy04D2153217
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Related
Questions
What is the CLIA number for Coleman Pharmacy in Fort Smith?
04D2190812, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coleman Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2190812 expire?
The CMS file lists August 18, 2028 as the certificate expiration date; the certificate took effect August 19, 2026.