CLIA lab

CLIA 04D2232205: DBA Smith Family Pharmacy

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

CLIA number 04D2232205 belongs to DBA Smith Family Pharmacy in Conway, AR.

Certificate of Waiver, effective August 11, 2025, expires August 10, 2027.

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 11, 2025
Certificate expiration
August 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 11, 2021
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
04D2232205
Lab name
DBA Smith Family Pharmacy
Additional name
JJJ Smith Inc
Address
2425 Dave Ward Drive Ste 602, Conway, AR 72034
Phone
(501) 336-8188
Fax
(501) 336-8177

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.

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Related

Questions

What is the CLIA number for DBA Smith Family Pharmacy in Conway?

04D2232205, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does DBA Smith Family Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 04D2232205 expire?

The CMS file lists August 10, 2027 as the certificate expiration date; the certificate took effect August 11, 2025.

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