CLIA lab
CLIA 04D2204918: Professional Pharmacy
Stuttgart, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2204918 belongs to Professional Pharmacy in Stuttgart, AR.
Certificate of Waiver, effective December 11, 2024, expires December 10, 2026.
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
- December 11, 2024
- Certificate expiration
- December 10, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 11, 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
- 04D2204918
- Lab name
- Professional Pharmacy
- Address
- 1515 N Medical Drive, Stuttgart, AR 72160
- Phone
- (870) 673-1741
- Fax
- (870) 673-1590
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Stuttgart, AR
- Arcare 171Certificate of Waiver, Federally qualified health center04D2349440
- Arkansas DermatologyCertificate of Compliance, Physician office04D2008889
- Baptist Health Medical Center-StuttgartCertificate of Compliance, Hospital04D0667580
- Baptist Health Stuttgart Campus ClinicCertificate of Waiver, Ancillary test site04D0888528
- Baptist Health Stuttgart Medical ClinicCertificate of Waiver, Community clinic04D0466816
- Buerkle Drug ManagementCertificate of Waiver, Pharmacy04D2205350
- Central Arkansas Radiation Therapy InstituteCertificate of Accreditation, Physician office04D2119462
- Coker Hampton DrugCertificate of Waiver, Pharmacy04D2155109
- Crestpark Retirement InnCertificate of Waiver, Skilled nursing or nursing facility04D0887718
- DR Lindsay Audirsch ChiropractorCertificate of Waiver, Physician office04D2164483
Related
Questions
What is the CLIA number for Professional Pharmacy in Stuttgart?
04D2204918, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Professional Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D2204918 expire?
The CMS file lists December 10, 2026 as the certificate expiration date; the certificate took effect December 11, 2024.